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Fountain Valley Health Care LLC

Psychiatric/Mental Health Nurse Practitioner in Fountain, CO · enumerated 2024 · authorized official Jacquita Jordan, Owner.

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

National Provider Identifier

1225890619

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fountain Valley Health Care LLC
Other name <Unavail>
Parent organization Fountain Valley Health Care LLC
Practice address 5115 Fontaine Blvd, Fountain, CO, 80817
Phone (719) 653-7776
Enumeration date Jan 30, 2024
Last updated in NPPES Jun 26, 2026

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Jacquita Jordan
Title Owner
Phone (719) 358-7338

Other identifiers

Identifier Type State Issuer
9000226000 Medicaid CO -

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 Valley Health Care LLC?
Fountain Valley Health Care LLC is registered in NPPES as a Psychiatric/Mental Health Nurse Practitioner (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 2026-06-26.