Fountain of Youth
NPI 1144630963 · Adult Day Care Clinic/Center · Staten Island, NY
Fountain of Youth is a Adult Day Care Clinic/Center organization in Staten Island, NY (NPI 1144630963).
Provider details
- NPI number
- 1144630963
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brent Alexander, President(718) 667-8521
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Frequently asked questions
- What is Fountain of Youth's NPI number?
- Fountain of Youth's National Provider Identifier (NPI) is 1144630963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Youth?
- Fountain of Youth is classified in the NPPES registry as Adult Day Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fountain of Youth located?
- Fountain of Youth's practice location on file with NPPES is 26 Dumont Ave, Staten Island, NY 10305-1450.
- What is Fountain of Youth's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Youth is (718) 667-8510.
- Who is the authorized official for Fountain of Youth?
- The authorized official listed on Fountain of Youth's NPPES record is Brent Alexander, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Youth's NPI active?
- Yes — Fountain of Youth's NPI (1144630963) is active in the NPPES registry as of the last update on 2014-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.