Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fountain of Youth, Inc

Voluntary or Charitable Agency in Fort Smith, AR · enumerated 2008 · authorized official Michelle Foutch, Site Director.

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

National Provider Identifier

1225202179

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Registry record

Entity type Organization (Type 2)

Legal business name Fountain of Youth, Inc

Practice address 2409 S 56th St, Suite 121, Fort Smith, AR, 72903

Phone (479) 484-7782

Fax (479) 484-7951

Enumeration date Apr 22, 2008

Last updated in NPPES Sep 5, 2012

Taxonomy & classification

251V00000X Voluntary or Charitable Agency Agencies · License 105 (AR) Primary

Authorized official

Name Michelle Foutch

Title Site Director

Phone (479) 484-7782

Other identifiers

Identifier	Type	State	Issuer
165464755	Medicaid	AR	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-09-05. Verify at npiregistry.cms.hhs.gov.

Where is Fountain of Youth, Inc located?

The practice location on file with NPPES is in Fort Smith, AR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-05.