Agape Cottages Flora LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGAPE COTTAGES FLORA LLC

Doing business as

Saint Agnes Care

Practice address

4931 Carthage St
Placentia, CA 92870-3004

Phone

(657) 258-9152

Fax

(714) 982-3433

NPI assigned

Oct 26, 2018

Last updated

Mar 19, 2020By 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

Roberto Del Rosario

Title

Administrator

Phone

(209) 914-1153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint Agnes Care Doing business as

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1568939635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "657-258-9152",
            "fax_number": "714-982-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "657-258-9152",
            "fax_number": "714-982-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COTTAGES FLORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-914-1153"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Agnes Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Placentia, CA
• Providers in Placentia, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.