AGAPE FAMILY CARE HOMES, LLC (NPI# 1699895540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699895540 |
| Entity Type | Organization |
| Organization Name | AGAPE FAMILY CARE HOMES, LLC |
| Other Organization Name | AGAPE HEALTHCARE SERVICES |
| Practice Address |
2336 Ravenhill Dr Raleigh NC 27615-7531 |
| Mailing Address |
2336 Ravenhill Dr Po Box 14963 Raleigh NC 27615-7531 |
| Practice Telephone | 9197901016 |
| Practice Fax Number | 9198769252 |
| Mailing Telephone | 9197901016 |
| Mailing Fax Number | 9198769252 |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EZUMA ASI (ADMINISTRATOR) |
| Authorized Official Telephone | 9196056177 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
MHL-092-622 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805229 | 05 |
| Other Name | Type Code |
|---|---|
| agape healthcare services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922440189 | Agape Family Care Homes, LLC | Assisted Living Facility | 1238 Fairlane Rd, Cary, NC 27511-5904 | 2013-07-29 |
| 1780706556 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-04 |
| 1881714731 | Agape Family Care Homes, LLC | Assisted Living Facility | 3905 Marsh Creek Rd, Raleigh, NC 27604-4108 | 2007-04-01 |
| 1215050844 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-09 |
| Street Address |
2336 RAVENHILL DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861796468 | His Will Worldwide, LLC | Assisted Living Facility | 4114 James Rd, Raleigh, NC 27604-4903 | 2010-12-23 |
| 1700115284 | Vagap Health | Assisted Living Facility | 6004 Ricker Rd, Raleigh, NC 27610-4281 | 2009-12-14 |
| 1972760601 | Helms Adult Care Home 2 | Assisted Living Facility | 502 Carolina Ave, Raleigh, NC 27606-1604 | 2008-05-20 |
| 1780706556 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-04 |
| 1881714731 | Agape Family Care Homes, LLC | Assisted Living Facility | 3905 Marsh Creek Rd, Raleigh, NC 27604-4108 | 2007-04-01 |
| 1811011802 | Cheetham Family Care Home | Assisted Living Facility | 2726 Newsome St, Raleigh, NC 27603-2956 | 2007-03-17 |
| 1992263644 | Padroy Inc | Assisted Living Facility | 2917 Fairway Dr, Raleigh, NC 27603-3124 | 2019-03-12 |
| 1912352881 | O'neal's Caring Home | Assisted Living Facility | 3206 Dove Tree Ln, Raleigh, NC 27610-6693 | 2016-04-28 |
| 1407178205 | Gibson Homes LLC | Assisted Living Facility | 101 N Peartree Ln, Raleigh, NC 27610-1823 | 2010-02-20 |
| 1215050844 | Agape Family Care Homes, LLC | Assisted Living Facility | 7320 Bentley Wood Ln, Raleigh, NC 27616-6459 | 2007-04-09 |
| Find all providers in RALEIGH | ||||
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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.