OrganizationActive
Fountain of Youth Adult Day Center
NPI 1093598633 · Adult Day Care Clinic/Center · Hammond, IN
Provider details
- NPI number
- 1093598633
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jasmeka Collins, Director(708) 970-9475
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
700 Sibley St
Hammond, IN 46320-1635
Phone: (708) 970-9475
Approximate (ZIP-level) locationGet directions
Mailing address
54 W 153rd Pl
South Holland, IL 60473-1007
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.