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Fountain of Love Assisted Living Inc

Clinical Social Worker in Oak Park, MI · enumerated 2010 · authorized official Shanell Clark, Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093021859

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Registry record

Entity type Organization (Type 2)
Legal business name Fountain of Love Assisted Living Inc
Other name <Unavail>
Practice address 21820 Beverly St, Oak Park, MI, 48237
Phone (248) 796-7291
Enumeration date Aug 30, 2010
Last updated in NPPES Nov 15, 2018

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AF630309030 (MI) Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Shanell Clark
Title Officer
Phone (248) 796-7291

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fountain of Love Assisted Living Inc?
Fountain of Love Assisted Living Inc is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-15.