Agape Group, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AGAPE GROUP, INC

Practice address

400 Ramona Ave
Suite #206
Corona, CA 92879-1440

Phone

(714) 227-4436

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gerard J Papa

Title

Ceo

Phone

(951) 279-4500

Specialties & licenses 1

Addresses

Other names 1

• Caring Angels Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921638

Legal name

AGAPE GROUP, INC

Doing business as

CARING ANGELS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 6, 2017

Last certification

Jan 24, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 14, 2014 in CA

Enrollment address

2930 Inland Empire Blvd
Ste 115
Ontario, CA 91764-4802

Listed as

Caring Angels HospiceCCN 921638

Ownership

For-Profit

Certified

Mar 6, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Eufrocino Cabotaje Martinez, M. D.

  • Surgery Physician
  • Norwalk, CA
  • NPI 1891877056

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Eufrocino Cabotaje Martinez, M. D.

  • Surgery Physician
  • Norwalk, CA
  • NPI 1891877056

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1487051348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE STE 206",
            "address_2": "SUITE #206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791443",
            "telephone_number": "951-279-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE",
            "address_2": "SUITE #206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791440",
            "telephone_number": "714-227-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-279-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Angels Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lily Afshar, FNP-C
• Tara Agajanian, LCSW
• Obi Etengeneng Agbor, LVN
• Theophilus Agbor Agbor, REGISTERED NURSE
• Elizabeth Rose Agramonte
• Amy Lee Aguilar
• Anissa Monique Aguilar

• Community Based Hospice Care Agency in Corona, CA
• Providers in Corona, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.