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

Fountains Ccrc Holding LLC

Organization Skilled Nursing Facility · NPI 1174170013

Fountains Ccrc Holding LLC is a Skilled Nursing Facility in Atco, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
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

114 Hayes Mill Rd
Atco, NJ 08004-2457
Phone: (856) 753-2000
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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 number1174170013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Tennenbaum — Owner · (516) 371-9500
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019
Mailing address114 Hayes Mill Rd, Atco, NJ 08004-2457

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