# AGATE CONGREGATE LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982429247
- **Authorized official:** MR. SIMM K SANASINH OWNER (CEO/OWNER)
- **Authorized official phone:** (949) 233-1645

## Contact information

- **Practice address:** 13968 AGATE CT, EASTVALE, CA 92880-3834
- **Practice address phone:** (949) 233-1645
- **Practice address fax:** (951) 220-7169
- **Mailing address:** 6835 RIVERGLEN CT, EASTVALE, CA 92880-3842
- **Mailing address phone:** (949) 233-1645
- **Mailing address fax:** (951) 220-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024