Fountains Ccrc Holding LLC
NPI 1174170013 · Skilled Nursing Facility · Atco, NJ
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fountains Ccrc Holding LLC is a Skilled Nursing Facility organization in Atco, NJ (NPI 1174170013).
Provider details
- NPI number
- 1174170013
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Tennenbaum, Owner(516) 371-9500
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-08-26
- Last updated
- 2019-08-26
Frequently asked questions
- What is Fountains Ccrc Holding LLC's NPI number?
- Fountains Ccrc Holding LLC's National Provider Identifier (NPI) is 1174170013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountains Ccrc Holding LLC?
- Fountains Ccrc Holding LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fountains Ccrc Holding LLC located?
- Fountains Ccrc Holding LLC's practice location on file with NPPES is 114 Hayes Mill Rd, Atco, NJ 08004-2457.
- What is Fountains Ccrc Holding LLC's phone number?
- The practice phone number listed in the NPPES registry for Fountains Ccrc Holding LLC is (856) 753-2000.
- Does Fountains Ccrc Holding LLC accept Medicare?
- Fountains Ccrc Holding LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fountains Ccrc Holding LLC?
- The authorized official listed on Fountains Ccrc Holding LLC's NPPES record is Samuel Tennenbaum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountains Ccrc Holding LLC's NPI active?
- Yes — Fountains Ccrc Holding LLC's NPI (1174170013) is active in the NPPES registry as of the last update on 2019-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.