Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WATER OF LIFE COMMUNITY CHURCH
NPI 1205667524
Case Manager/Care Coordinator in Fontana, CA

Active since August 08, 2024
8440 NUEVO AVE, FONTANA, CA 92335(909) 803-1059 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Aug 8, 2024 (2 updates tracked since 2024).

About Water Of Life Community Church NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATER OF LIFE COMMUNITY CHURCH (NPI 1205667524) is a healthcare organization registered as a case manager/care coordinator in Fontana, California and active in the NPI registry since August 2024. The organization lists Jim Kensinger, Executive Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1205667524
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameWATER OF LIFE COMMUNITY CHURCH
Location Address8440 NUEVO AVEFontana, CA 92335-3824
Mailing Address14418 Miller Ave Ste KFontana, CA 92336-4265 · (909) 803-1059
Organization SubpartNo
Authorized OfficialJim KensingerExecutive Director Of Operations · (909) 463-3915
Enumeration DateAugust 8, 2024
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1205667524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedSupports BrokerageTaxonomy 251X00000X
8440 NUEVO AVE, Fontana, CA 92335

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Water Of Life Community Church's NPI number?

The NPI number for Water Of Life Community Church is 1205667524. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Water Of Life Community Church located?

Water Of Life Community Church is located at 8440 Nuevo Ave, Fontana, CA 92335. The listed phone number is (909) 803-1059.

What is Water Of Life Community Church's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Water Of Life Community Church was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.