OrganizationActive
Ag Adult Foster Care LLC
NPI 1649665274 · Adult Care Home Facility · Malden, MA
Provider details
- NPI number
- 1649665274
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jose Gonzalez, President(407) 319-1233
Specialties & taxonomies
Nursing & Custodial Care Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
30 Eastern Ave. Ste 300
Malden, MA 02148
Phone: (781) 605-3724
Fax: (781) 605-3765
Approximate (ZIP-level) locationGet directions
Mailing address
30 Eastern Ave. Ste 300
Malden, MA 02148
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.