Fountain of Youth LLC Residential Care
NPI 1306608195 · Adult Care Home Facility · Mount Olive, NC
Fountain of Youth LLC Residential Care is a Adult Care Home Facility organization in Mount Olive, NC (NPI 1306608195).
Provider details
- NPI number
- 1306608195
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sadio Sykes, Administer(571) 484-4472
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Private Vehicle347C00000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-26
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Fountain of Youth LLC Residential Care's NPI number?
- Fountain of Youth LLC Residential Care's National Provider Identifier (NPI) is 1306608195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Youth LLC Residential Care?
- Fountain of Youth LLC Residential Care is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Fountain of Youth LLC Residential Care located?
- Fountain of Youth LLC Residential Care's practice location on file with NPPES is 1116 S Church St, Mount Olive, NC 28365-2504.
- What is Fountain of Youth LLC Residential Care's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Youth LLC Residential Care is (919) 299-4539.
- Who is the authorized official for Fountain of Youth LLC Residential Care?
- The authorized official listed on Fountain of Youth LLC Residential Care's NPPES record is Sadio Sykes, Administer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Youth LLC Residential Care's NPI active?
- Yes — Fountain of Youth LLC Residential Care's NPI (1306608195) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.