OrganizationActive
Fountain of Life LLC
NPI 1710223573 · Primary Care Clinic/Center · Houston, TX
Fountain of Life LLC is a Primary Care Clinic/Center organization in Houston, TX (NPI 1710223573).
Provider details
- NPI number
- 1710223573
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Goodman, Dr(832) 548-1701
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1820 W 43rd St
Houston, TX 77018-3006
Phone: (832) 548-1701
Fax: (713) 393-7466
Street-level locationGet directions
Mailing address
1820 W 43rd St
Houston, TX 77018-3006
Other names (DBA / former)
- Doing business as
- Medcuba Clinic
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2013-07-30
Frequently asked questions
- What is Fountain of Life LLC's NPI number?
- Fountain of Life LLC's National Provider Identifier (NPI) is 1710223573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Life LLC?
- Fountain of Life LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fountain of Life LLC located?
- Fountain of Life LLC's practice location on file with NPPES is 1820 W 43rd St, Houston, TX 77018-3006.
- What is Fountain of Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Life LLC is (832) 548-1701.
- Who is the authorized official for Fountain of Life LLC?
- The authorized official listed on Fountain of Life LLC's NPPES record is Cynthia Goodman, Dr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Life LLC's NPI active?
- Yes — Fountain of Life LLC's NPI (1710223573) is active in the NPPES registry as of the last update on 2013-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.