Agse, LLC

Skilled Nursing Facility · Greenbrae, CA

Organization Active NPI

NPI number 1902329782

Practice location

1220 S Eliseo Dr
Greenbrae, CA 94904-2006
Phone
(415) 461-9700

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NPI record

NPI
1902329782
Entity type
Organization (Type 2)
Enumeration date
July 24, 2017
Last updated
July 24, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 10000354 CA

Mailing address

28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone
(949) 347-7100

Authorized official

Name
Jeffrey Bradshaw
Title
Manager
Phone
(949) 347-7100

Other names

  • South Marin Health & Wellness Center

About Agse, LLC

Agse, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1220 S Eliseo Dr, Greenbrae, CA 94904-2006. The NPI number 1902329782 was assigned on July 24, 2017 and the record was last updated on July 24, 2017.

Agse, LLC lists a license in the registry: #10000354 (CA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jeffrey Bradshaw, Manager.

Frequently asked questions

What is the NPI number of Agse, LLC?

The NPI number is 1902329782.

What is the phone number of Agse, LLC?

The phone number listed for the practice location is (415) 461-9700.

Where is Agse, LLC located?

1220 S Eliseo Dr, Greenbrae, CA 94904-2006.

What is the taxonomy code for Agse, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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