AGAPE ESSENTIAL INC


Address: 2141 Bertha St, Kannapolis, NC 28083-3023
Phone: 7042982433

AGAPE ESSENTIAL INC (NPI# 1497258107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497258107
Entity Type Organization
Organization Name AGAPE ESSENTIAL INC
Practice Address 2141 Bertha St
Kannapolis
NC 28083-3023
Mailing Address Po Box 481714
Charlotte
NC 28269-5330
Practice Telephone 7042982433
Practice Fax Number 7733379740
Mailing Telephone 7042982433
Mailing Fax Number 7733379740
Enumeration Date 2018-03-09
Last Update Date 2018-04-18
Authorized Official Name TRENITA CROUCH (CEO)
Authorized Official Telephone 7042982433
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health NC Agencies
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 2141 BERTHA ST
City KANNAPOLIS
State NC
Zip Code 28083-3023

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1265728687 Delilah Jerelyn Jackson Pharmacist 559 Jackson Park Road, Kannapolis, NC 28083 2011-06-23
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1942534482 Christina M Metts-wakeland Massage Therapist 2601 Cannon Blvd, Kannapolis, NC 28083 2009-10-01
1912164310 Christian Women of Elegance Dba Community/Behavioral Health 397 Cannon South Boulevard, Kannapolis, NC 28083 2008-05-22
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215061007 Youth Adult Care Management Residential Treatment Facility, Emotionally Disturbed Children 730 Jack St, Kannapolis, NC 28081-9573 2007-03-15
1649304437 Youth Adult Care Management Residential Treatment Facility, Emotionally Disturbed Children 1906 Woodlawn St, Kannapolis, NC 28083-3058 2007-03-15
1497889281 Youth Adult Care Management Residential Treatment Facility, Emotionally Disturbed Children 1680 Barbara Ann Cir, Kannapolis, NC 28083-6574 2007-03-15
1083763106 Progressions 4 Residential Treatment Facility, Emotionally Disturbed Children 126 Ashmont Dr, Kannapolis, NC 28081-7134 2007-01-09
1942421862 Youth Adult Care Management Residential Treatment Facility, Emotionally Disturbed Children 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 2007-05-01

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NPI Name Taxonomy Address Enumeration
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1457998627 Re Health Group Residential Treatment Facility, Emotionally Disturbed Children 1102 Groves St, Kings Mountain, NC 28086-2232 2019-12-05
1821631532 Marquita Latrice Walls Residential Treatment Facility, Emotionally Disturbed Children 1565 Longbranch Rd, Grover, NC 28073-9599 2019-10-25
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1821562224 Carter Clinic, Pa Residential Treatment Facility, Emotionally Disturbed Children 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 2019-01-18
1659842607 Gervonia Robinson Residential Treatment Facility, Emotionally Disturbed Children 1714 Aster Ln, Gastonia, NC 28054-8303 2018-12-16
1679058440 Miracle Houses Inc Residential Treatment Facility, Emotionally Disturbed Children 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 2018-09-27
1174048078 A Safe Place Community Housing, LLC Residential Treatment Facility, Emotionally Disturbed Children 2049 Highland St, Charlotte, NC 28208-4909 2017-08-11
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Competitor

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City KANNAPOLIS
Zip Code 28083

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Dataset Information

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.

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