Agl Ventures LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

336423302 Issued in CA

Legal business name

AGL VENTURES LLC

Doing business as

Majestic Residential Care

Practice address

79790 Barcelona Dr
La Quinta, CA 92253-8818

Phone

(760) 345-5995

NPI assigned

Feb 11, 2011

Last updated

Feb 11, 2011By 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

Mrs. Donna Ellamil-Lejarde

Title

President/Administrator

Phone

(760) 345-5995

Specialties & licenses 1

Addresses

Other names 1

• MAJESTIC RESIDENTIAL CARE Doing business as

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1639476534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79790 BARCELONA DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538818",
            "telephone_number": "760-345-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79790 BARCELONA DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538818",
            "telephone_number": "760-345-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGL VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "ELLAMIL-LEJARDE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "760-345-5995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336423302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJESTIC RESIDENTIAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in La Quinta, CA
• Providers in La Quinta, 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 Feb 11, 2011; 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.