Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fountain Manor Opco LLC

Organization Skilled Nursing Facility · NPI 1366960254

Fountain Manor Opco LLC is a Skilled Nursing Facility in North Miami, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

390 NE 135th St
North Miami, FL 33161-3967
Phone: (305) 895-4804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1366960254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Marsh — Corporate Finance · (386) 255-1054
Other names Fountain Manor Health & Rehabilitation Center
NPI enumeratedAugust 31, 2017
Last updated in NPPESAugust 31, 2017
Mailing address480 Fentress Blvd Ste H, Daytona Beach, FL 32114-1237

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