AGAPE COTTAGE, INC. (NPI# 1457702375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457702375 |
| Entity Type | Organization |
| Organization Name | AGAPE COTTAGE, INC. |
| Other Organization Name | AGAPE COTTAGE 4 |
| Practice Address |
864 N Ford Ave Fullerton CA 92832-1261 |
| Mailing Address |
4931 Carthage St Placentia CA 92870-3004 |
| Practice Telephone | 9493948707 |
| Practice Fax Number | 7149823433 |
| Mailing Telephone | 9493948707 |
| Mailing Fax Number | 7149823433 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MR. JOSEPH ALVAREZ (ADMINISTRATOR) |
| Authorized Official Telephone | 9493948707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 306004420 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Agape Cottage 4 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144773193 | Agape Cottage, Inc. | Assisted Living Facility | 825 Lilac Dr, Placentia, CA 92870-4728 | 2016-07-26 |
| 1679026629 | Agape Cottage, Inc. | Assisted Living Facility | 5111 Hamer Ln, Placentia, CA 92870-3650 | 2016-07-26 |
| 1215480264 | Agape Cottage, Inc. | Assisted Living Facility | 16202 Cairo Cir, Placentia, CA 92870-3001 | 2016-07-26 |
| 1518318435 | Agape Cottage, Inc. | Assisted Living Facility | 11442 Newport Ave, Santa Ana, CA 92705-2219 | 2016-06-22 |
| 1235580150 | Agape Cottage, Inc. | Assisted Living Facility | 19982 Avenida Puesta Del Sol, Yorba Linda, CA 92886-2908 | 2016-06-22 |
| 1063867562 | Agape Cottage, Inc. | Assisted Living Facility | 16192 Cairo Cir, Placentia, CA 92870-3001 | 2016-05-03 |
| Street Address |
864 N FORD AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839315 | Prime Senior Care Homes L.l.c | Assisted Living Facility | 1857 Sheddon St, Fullerton, CA 92833-5659 | 2020-10-20 |
| 1063026060 | Harmony Care Corporation | Assisted Living Facility | 2751 E Chapman Ave Ste 208, Fullerton, CA 92831-3713 | 2020-09-07 |
| 1043820434 | Jc Cottages LLC | Assisted Living Facility | 1013 Hollydale Dr, Fullerton, CA 92831-2820 | 2020-07-31 |
| 1174979561 | Index Investments Inc Dba Fullerton Res Manor | Assisted Living Facility | 2441 W Orangethorpe Ave, Fullerton, CA 92833-4201 | 2016-05-04 |
| 1841665262 | Vass Senior Care | Assisted Living Facility | 2528 W Oak Ave, Fullerton, CA 92833-3115 | 2015-12-10 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1669843629 | Cambridge Court | Assisted Living Facility | 1621 E Commonwealth Ave, Fullerton, CA 92831-4027 | 2015-10-15 |
| 1356625370 | Valley View Assisted Living LLC | Assisted Living Facility | 915 7th St, Fullerton, NE 68638-3093 | 2011-10-10 |
| 1972594463 | Core Care V A Ca Limited | Assisted Living Facility | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2005-11-02 |
| 1518575562 | Serenity Care Health We | Assisted Living Facility | 317 N Richman Ave, Fullerton, CA 92832-1101 | 2020-07-15 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.