FLOURISH – NPI #1740042605
Case Management

FLOURISH is a case management agency located in DALLAS, GA. NPPES recently assigned the NPI number 1740042605 to FLOURISH on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLOURISH” is a dba name, the actual legal business name for this organization is FLOURISH FOUNDATION. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 251B00000X from the Health Care Provider Taxonomy code set, which is classified as Case Management.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLOURISH below.

NPI Profile for
FLOURISH FOUNDATION

NPI Number
1740042605
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLOURISH FOUNDATION
Doing Business As (dba): FLOURISH
Other name(s)
All associated names:
Doing Business As (dba)
FLOURISH
Doing Business As (dba)
The Flourish Foundation
Primary location
172 WATER OAK WAY
DALLAS, GA 30157-8562
Phone: (480) 286-8603 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JONTA TIDWELL
FOUNDER
Phone: (480) 286-8603
Updated
Certification Date
Jan 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251B00000X
- Case Management (Primary)
251E00000X
- Home Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.