Organization Active NPI

Agesong, Inc

  • Assisted Living Facility (Mental Illness)
  • San Francisco, CA
National Provider Identifier
1356548135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
AGESONG, INC
Practice address
432 Ivy St
San Francisco, CA 94102-4254
Phone
(415) 431-8143
Fax
(415) 431-1012
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nader Shabahangi
Title
Ceo
Phone
(415) 431-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

432 Ivy St
San Francisco, CA 94102-4254

Mailing address

432 Ivy St
San Francisco, CA 94102-4254
Phone (415) 431-8143

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356548135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024254",
            "telephone_number": "415-431-8143",
            "fax_number": "415-431-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024254",
            "telephone_number": "415-431-8143",
            "fax_number": "415-431-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGESONG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHABAHANGI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-431-8143"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.