Agape Villages, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

397005335 Issued in CA

Legal business name

AGAPE VILLAGES, INC.

Practice address

3160 Crow Canyon PL
Suite 120
San Ramon, CA 94583-1100

Phone

(925) 866-3020

Fax

(925) 866-0305

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bangon Badial

Title

Administrative Director

Phone

(925) 866-3020

Specialties & licenses 2

Addresses

Other names 1

• Agape Villages Foster Family Agency Other name

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1497292809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON PL",
            "address_2": "SUITE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831100",
            "telephone_number": "925-866-3020",
            "fax_number": "925-866-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON PL",
            "address_2": "SUITE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831100",
            "telephone_number": "925-866-3020",
            "fax_number": "925-866-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE VILLAGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BADIAL",
        "authorized_official_first_name": "BANGON",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "925-866-3020"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "015202681",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "397005335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Villages Foster Family Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Foster Care Agency in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Foster Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.