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FOUNTAIN ASSISSTED LIVING CENTER LLC
NPI 1215533757
Assisted Living Facility in Mesa, AZ

Active since December 09, 2020
2260 E BROWN ROAD, MESA, AZ 85213(480) 299-3310 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2025, Dec 9, 2020 (2 updates tracked since 2020).

About Fountain Assissted Living Center Llc NPPES

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

FOUNTAIN ASSISSTED LIVING CENTER LLC (NPI 1215533757) is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since December 2020. The organization lists Kirstin Lundahl, Owner/business Manager, as its authorized official.

NPPES Registry Identity

NPI1215533757
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOUNTAIN ASSISSTED LIVING CENTER LLC
Location Address2260 E BROWN ROADMesa, AZ 85213-5224
Mailing Address3048 E Baseline Rd, Ste 108Mesa, AZ 85204 · (480) 206-4241
Phone(480) 299-3310
Organization SubpartNo
Authorized OfficialKirstin LundahlOwner/business Manager · (480) 206-4241
Enumeration DateDecember 9, 2020
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1215533757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2260 E BROWN ROAD, Mesa, AZ 85213
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Other Identifiers 1

Medicaid103616AZ

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 Fountain Assissted Living Center LLC's NPI number?

The NPI number for Fountain Assissted Living Center LLC is 1215533757. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Fountain Assissted Living Center LLC located?

Fountain Assissted Living Center LLC is located at 2260 E Brown Road, Mesa, AZ 85213. The listed phone number is (480) 299-3310.

What is Fountain Assissted Living Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fountain Assissted Living Center LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.