Agapewellness Golden Soutions

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

AGAPEWELLNESS GOLDEN SOUTIONS

Practice address

3425 Carly Dr
3425 Carly Dr
Stockton, CA 95205-2541

Phone

(209) 271-4093

Fax

(209) 946-0592

NPI assigned

Dec 10, 2008

Last updated

Dec 10, 2008By 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

Angela June White-Williams

Title

Eldercare Manager

Phone

(209) 271-4093

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1659516235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CARLY DR",
            "address_2": "4325 CARLY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952052541",
            "telephone_number": "209-271-4093",
            "fax_number": "209-946-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 CARLY DR",
            "address_2": "3425 CARLY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952052541",
            "telephone_number": "209-271-4093",
            "fax_number": "209-946-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPEWELLNESS GOLDEN SOUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITE-WILLIAMS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "ELDERCARE MANAGER",
        "authorized_official_telephone_number": "209-271-4093"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Stockton, CA
• Providers in Stockton, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.