AGESONG, INC (NPI# 1356548135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356548135 |
| Entity Type | Organization |
| Organization Name | AGESONG, INC |
| Practice Address |
432 Ivy St San Francisco CA 94102-4254 |
| Practice Telephone | 4154318143 |
| Practice Fax Number | 4154311012 |
| Mailing Telephone | 4154318143 |
| Mailing Fax Number | 4154311012 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NADER SHABAHANGI (CEO) |
| Authorized Official Telephone | 4154318143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
432 IVY ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568669331 | Hvch,lp | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| 1104097187 | Pacific Institute | Psychologist | 432 Ivy St, San Francisco, CA 94102-4254 | 2008-03-18 |
| 1265616478 | Pacific Institute | Voluntary or Charitable | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-12-24 |
| 1972700698 | Pacific Institute | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| 1821295601 | Laguna Grove Care | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568669331 | Hvch,lp | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| 1972700698 | Pacific Institute | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| 1821295601 | Laguna Grove Care | Assisted Living Facility | 432 Ivy St, San Francisco, CA 94102-4254 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409356 | Ever Well Health Systems, LLC | Assisted Living Facility | 1201 W Swain Rd, Stockton, CA 95207-4228 | 2020-05-18 |
| 1952935538 | Integrated Family Enrichment Services | Assisted Living Facility | 11423 Citrus Glen Ln, Fontana, CA 92337-1040 | 2020-02-23 |
| 1174157721 | Oakview-eldorado Oaks, Inc | Assisted Living Facility | 1762 Dale Rd, Glendora, CA 91740-5431 | 2020-02-22 |
| 1952955841 | Green Merrylands Inc | Assisted Living Facility | 15986 Baltray Way, Fontana, CA 92336-4546 | 2019-07-29 |
| 1639722002 | Golden Living In Sylmar, Inc. | Assisted Living Facility | 14060 Astoria Street, Sylmar, CA 91342-2949 | 2019-07-24 |
| 1437701307 | Arlington Management LLC | Assisted Living Facility | 4609 Arlington Ave, Riverside, CA 92504-2705 | 2019-07-11 |
| 1215404769 | Arm Group Homes LLC. | Assisted Living Facility | 53 Newburn Ct, Beaumont, CA 92223-3131 | 2018-11-01 |
| 1679052849 | Laulelei Care Solutions LLC | Assisted Living Facility | 7551 Sweetfern Way, Sacramento, CA 95822-5726 | 2018-08-09 |
| 1922584903 | Diya Senior Care Corp | Assisted Living Facility | 366 Lassenpark Cir, San Jose, CA 95136-2159 | 2018-07-13 |
| 1992293732 | Recuperative and Supportive Services, LLC | Assisted Living Facility | 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 | 2018-04-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.