Agemark Management. LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGEMARK MANAGEMENT. LLC

Practice address

Trevista Concord
1081 Mohr Lane
Concord, CA 94518

Phone

(925) 798-3900

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Martin (Marty) L Hug

Title

Ceo

Phone

(402) 469-0750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1649951328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AGEMARK MANAGEMENT, LLC",
            "address_2": "25 AVENIDA DE ORINDA",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "510-548-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TREVISTA CONCORD",
            "address_2": "1081 MOHR LANE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94518",
            "telephone_number": "925-798-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Astoria Gardens",
            "address_2": "1960 West Lowell",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "95376",
            "country_code": "US",
            "telephone_number": "209-833-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGEMARK MANAGEMENT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HUG",
        "authorized_official_first_name": "MARTIN (MARTY)",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-469-0750"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Concord, CA
• Providers in Concord, 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 Jul 26, 2023; 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.