Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fountain of Youth, LLC

Q: What type of organization is Fountain of Youth, LLC?

Fountain of Youth, LLC is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

Clinic/Center in Terre Haute, IN · enumerated 2012 · authorized official Sherri Jernberg, Owner/Operator.

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

National Provider Identifier

1316205115

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Fountain of Youth, LLC

Other name <Unavail>

Practice address 8810 Wabash Ave, Terre Haute, IN, 47803

Phone (812) 239-4090

Enumeration date Apr 30, 2012

Last updated in NPPES Apr 30, 2012

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 71002624A (IN) Primary

Authorized official

Name Sherri Jernberg

Title Owner/Operator

Phone (812) 239-4090

Other identifiers

Identifier	Type	State	Issuer
1588821250	Other	IN	PERSONAL NPI NUMBER

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

What type of organization is Fountain of Youth, LLC?

Fountain of Youth, LLC is registered in NPPES as a Clinic/Center (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.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-30.