AGAPE, LLC (NPI# 1114139870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114139870 |
Entity Type | Organization |
Organization Name | AGAPE, LLC |
Practice Address |
16046 W 343rd St Paola KS 66071 |
Mailing Address |
34850 Mission Bellview Louisburg KS 66053 |
Practice Telephone | 9135262817 |
Mailing Telephone | 9135262817 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-01-03 |
Authorized Official Name | MRS. SUSAN RENAE JUAREZ (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9135262817 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | KS | Residential Treatment Facilities | |
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
KS | Respite Care Facility | |
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | KS | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | AGAPE, LLC | P.o. Box 9398, Riverhead, Ny 11901 |
Street Address |
16046 W 343RD ST |
City | PAOLA |
State | KS |
Zip Code | 66071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
1841766219 | Helen Elizabeth Howerton | Social Worker | 25955 W 327th St, Paola, KS 66071 | 2018-10-23 |
Find all providers in zip 66071 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194247858 | Rising Phoenix Community Living, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1414 W 6th St Ste 101, Lawrence, KS 66044-2266 | 2017-07-13 |
1427589993 | Succor Adult Care Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13725 Metcalf Ave # 241, Overland Park, KS 66223-7899 | 2017-03-25 |
1174986392 | Transitions Youth Homes, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2426 E Conquest St, Wichita, KS 67219-4768 | 2016-04-04 |
1427425115 | Samantha Collins | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 710 Sw Fairlawn Rd Apt 301a, Topeka, KS 66606-2374 | 2015-08-28 |
1447677935 | Shirley Kay Mcdonald | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1306 Belton St, Iola, KS 66749-3057 | 2014-03-24 |
1427487602 | Heartland Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8137 Santa Fe Dr, Overland Park, KS 66204-3607 | 2013-11-07 |
1558605592 | Shawn Minor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32583 W 172nd St, Gardner, KS 66030-9220 | 2012-11-15 |
1093003063 | Happy Sun Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8405 Carter St, Overland Park, KS 66212-4464 | 2011-07-12 |
1740598796 | Double Quality Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2338 Se Madison St, Topeka, KS 66605-1151 | 2010-09-23 |
1104013754 | Latundra R Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14013 Garnett St, Overland Park, KS 66221-2807 | 2007-09-27 |
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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.