Agape Congregate Living, Llc

LBN: Agape Congregate Living, Llc
Agape Congregate Living, Llc is an health care organization with primary practice located at 302 Fairway Ln , Placentia CA 92870-4442. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Agape Congregate Living, Llc can be contacted via phone (657) 275-9127, or through Alvarez, Joseph via phone (949) 394-8707.

Contact Information

Primary practice address
302 Fairway Ln Placentia CA 92870-4442
Phone: (657) 275-9127
Fax: (714) 982-3360
Website:
Map and Directions
Authorized official contact:
Name: Alvarez, Joseph
Phone: (949) 394-8707

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California

Profile Details

NPI number 1023400538
LBN Legal business name Agape Congregate Living, Llc
DBA Doing business as
Authorized official Alvarez, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2015
Last updated Sep 25th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023400538 NPPES
California MEDICAID 05D2117482

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