Fountain of Life Centre
NPI 1083162630ActiveOrganization· Case Manager/Care Coordinator· San Pedro, CA
Case Manager/Care Coordinator in San Pedro, California, registered in NPPES in September 2016. The authorized official on file is Linda S. Tweten, PAR,CCS PATIENT ACCO, General Manager.
Overview
| NPI | 1083162630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2016 |
| Last updated in NPPES | Apr 28, 2026 |
| Certified by provider | Apr 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | 193200000X | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 33 Case Manager/Care Coordinator providers in San Pedro · All Case Manager/Care Coordinator providers in California