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MARK JORDAN AGRESOR
NPI 1265971162
Assisted Living Facility in Palm Springs, CA

Active since February 13, 2017
4425 CAMINO PAROCELA, PALM SPRINGS, CA 92264(760) 413-2998 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mark Jordan Agresor NPPES

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

MARK JORDAN AGRESOR (NPI 1265971162) is an individual assisted living facility provider in Palm Springs, California, licensed in California (00859592) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1265971162
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameMARK JORDAN AGRESOR
Location Address4425 CAMINO PAROCELAPalm Springs, CA 92264
Mailing Address4425 E Camino ParocelaPalm Springs, CA 92264-1451 · (760) 413-2998
Phone(760) 413-2998
Sole ProprietorYes
Enumeration DateFebruary 13, 2017
✔ NPI 1265971162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 00859592
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4425 CAMINO PAROCELA, Palm Springs, CA 92264
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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 Mark Jordan Agresor's NPI number?

The NPI number for Mark Jordan Agresor is 1265971162. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Mark Jordan Agresor located?

Mark Jordan Agresor practices at 4425 Camino Parocela, Palm Springs, CA 92264. The listed phone number is (760) 413-2998.

What is Mark Jordan Agresor's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mark Jordan Agresor was last updated on February 13, 2017. 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.