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

Fountain Valley Health Care LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1851170856

Fountain Valley Health Care LLC is an Addiction Medicine (Family Medicine) Physician in Colorado Springs, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1520 Verde Dr
Colorado Springs, CO 80910-1931
Phone: (719) 653-7776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1851170856
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFountain Valley Health Care LLC
Authorized official Jacquita Jordan — Owner · (719) 653-7776
Other names Family Success Center
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address1259 Lake Plaza Dr Ste 270, Colorado Springs, CO 80906-3560

Other providers in Colorado Springs