Fountain of Love Assisted Living Inc
NPI 1093021859 · Clinical Social Worker · Oak Park, MI
Fountain of Love Assisted Living Inc is a Clinical Social Worker organization in Oak Park, MI (NPI 1093021859).
Provider details
- NPI number
- 1093021859
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shanell Clark, Officer(248) 796-7291
- License
- AF630309030 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Nursing & Custodial Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Residential Treatment Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- The Loving Head Quarter
- Other name
- The Loving Head Quarter
Registry dates
- Enumerated
- 2010-08-30
- Last updated
- 2018-11-15
Frequently asked questions
- What is Fountain of Love Assisted Living Inc's NPI number?
- Fountain of Love Assisted Living Inc's National Provider Identifier (NPI) is 1093021859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Love Assisted Living Inc?
- Fountain of Love Assisted Living Inc is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Fountain of Love Assisted Living Inc located?
- Fountain of Love Assisted Living Inc's practice location on file with NPPES is 21820 Beverly St, Oak Park, MI 48237-2503.
- What is Fountain of Love Assisted Living Inc's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Love Assisted Living Inc is (248) 796-7291.
- Who is the authorized official for Fountain of Love Assisted Living Inc?
- The authorized official listed on Fountain of Love Assisted Living Inc's NPPES record is Shanell Clark, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Love Assisted Living Inc's NPI active?
- Yes — Fountain of Love Assisted Living Inc's NPI (1093021859) is active in the NPPES registry as of the last update on 2018-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.