Ag Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AG HOME CARE, INC

Practice address

1767 E Washington Blvd
Pasadena, CA 91104-2754

Phone

(310) 409-0904

Fax

(626) 200-1348

NPI assigned

Sep 21, 2016

Last updated

Jul 21, 2022By 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

Anjela Agadjanova

Title

President

Phone

(310) 409-0904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710436555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042754",
            "telephone_number": "310-409-0904",
            "fax_number": "626-200-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042754",
            "telephone_number": "310-409-0904",
            "fax_number": "626-200-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AGADJANOVA",
        "authorized_official_first_name": "ANJELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-409-0904"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.