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Agva, LLC

NPI 1639548449ActiveOrganization· Skilled Nursing Facility· Gardena, CA

Skilled Nursing Facility in Gardena, California, registered in NPPES in September 2015. The authorized official on file is Jeffrey Bradshaw, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1639548449
StatusActive
Entity typeOrganization
NPI issuedSep 22, 2015
Last updated in NPPESNov 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (CA)

Medicare sources and data years

Other Skilled Nursing Facility providers in Gardena

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