MEDICARE: AGAPE COTTAGES CLAREMONT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1811846819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE COTTAGES CLAREMONT LLC

Provider Business Mailing Address
First Line	:	4069 AZURITA CT
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-8654
Country	:	US
Telephone Number	:	909-534-0132
Fax Number	:

Provider Business Practice Location Address
First Line	:	17332 MELBOURNE LN
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-3832
Country	:	US
Telephone Number	:	909-534-0132
Fax Number	:

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	FRANCIS MEJIA
Credential	:
Telephone Number	:	909-534-0132

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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