Organization Active NPI

Agc Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saddle Brook, NJ
National Provider Identifier
1891814828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
35SI00033100 Issued in NJ
Legal business name
AGC SERVICES
Practice address
338 President St
Saddle Brook, NJ 07663-6323
Phone
(973) 928-3428
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert McGowan
Title
Director
Phone
(973) 928-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 35SI00033100 NJ Primary

Addresses

Primary practice location

338 President St
Saddle Brook, NJ 07663-6323

Mailing address

338 President St
Saddle Brook, NJ 07663-6323
Phone (973) 928-3428

Other identifiers 1

IdentifierTypeStateIssuer
474 8107MedicaidNJ

Other names 1

  • All God's Children Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agc Services19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891814828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 PRESIDENT ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636323",
            "telephone_number": "973-928-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 PRESIDENT ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636323",
            "telephone_number": "973-928-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-928-3428"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "35SI00033100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474 8107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All God's Children Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.