Ag Adult Foster Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AG ADULT FOSTER CARE LLC

Practice address

30 Eastern Ave. Ste 300
Malden, MA 02148

Phone

(781) 605-3724

Fax

(781) 605-3765

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Jose Gonzalez

Title

President

Phone

(407) 319-1233

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1649665274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EASTERN AVE. STE 300",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-605-3724",
            "fax_number": "781-605-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EASTERN AVE. STE 300",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-605-3724",
            "fax_number": "781-605-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG ADULT FOSTER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-319-1233"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lisa Acuna
• Edmund Seth Addo
• Ayomide Adeleke, MD, MS
• Adult Day Health, Inc.
• Afc Physicians of Massachusetts, PC
• Ag Home Health Services Ma, Inc.
• Agape Caring Home Health and Staffing Agency LLC
• Rachel Greenblatt Aghara, PHD, CCC-SLP
• Ugoolisa Akuamia Aghasili, PHARM.D
• Luzangie Fatima Aguero

• Adult Care Home Facility in Malden, MA
• Providers in Malden, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.