Fountain Assissted Living Center LLC
NPI 1215533757ActiveOrganization· Assisted Living Facility· Mesa, AZ
Assisted Living Facility in Mesa, Arizona, registered in NPPES in December 2020. The authorized official on file is Kirstin Lundahl, Owner/Business Manager.
Overview
| NPI | 1215533757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2020 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Dec 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
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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