AGAPE CONGREGATE LIVING, LLC
NPI 1023400538
Skilled Nursing Facility in Placentia, CA

Active since February 21, 2015CLIA 05D2117482 · Waiver
302 FAIRWAY LN, PLACENTIA, CA 92870(657) 275-9127(714) 982-3360 Get Directions Write a Review

NPPES record last updated: September 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2016, Mar 21, 2016, Jan 19, 2016 (3 updates tracked since 2016).

About Agape Congregate Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE CONGREGATE LIVING, LLC (NPI 1023400538) is a healthcare organization registered as a skilled nursing facility in Placentia, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Joseph Alvarez, Partner/administrator, as its authorized official.

NPPES Registry Identity

NPI1023400538
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAGAPE CONGREGATE LIVING, LLC
Location Address302 FAIRWAY LNPlacentia, CA 92870-4442
Mailing Address302 Fairway LnPlacentia, CA 92870-4442 · (657) 275-9127 · Fax (714) 982-3433
Fax(714) 982-3360
Organization SubpartNo
Authorized OfficialJoseph AlvarezPartner/administrator · (949) 394-8707
Enumeration DateFebruary 21, 2015
Last NPPES UpdateSeptember 25, 20163 updates tracked since enumeration
NPI 1023400538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
302 FAIRWAY LN, Placentia, CA 92870

Other Identifiers 2

Medicaid05D2117482CA
Medicare OSCAR/certification05D2117482CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2117482

Agape Congregate Living · Placentia, CA
Active · expires Aug 16, 2026
CLIA Number05D2117482
Laboratory TypeCongregate Living
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorSasan Salmi
Laboratory Phone(657) 275-9127
Laboratory LocationAgape Congregate Living302 Fairway Ln, Placentia, CA 92870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
302 FAIRWAY LN
PLACENTIA, CA 92870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Congregate Living, LLC's NPI number?

The NPI number for Agape Congregate Living, LLC is 1023400538. It was assigned to this organization in the NPPES registry on February 21, 2015.

Where is Agape Congregate Living, LLC located?

Agape Congregate Living, LLC is located at 302 Fairway Ln, Placentia, CA 92870. The listed phone number is (657) 275-9127.

What is Agape Congregate Living, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Agape Congregate Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2117482) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agape Congregate Living, LLC was last updated on September 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.