AGAPE FAMILY CARE HOME INC. (NPI# 1750772919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750772919 |
| Entity Type | Organization |
| Organization Name | AGAPE FAMILY CARE HOME INC. |
| Practice Address |
155 Carriage Loop Burlington NC 27217-7549 |
| Mailing Address |
Po Box 5126 Burlington NC 27216-5126 |
| Practice Telephone | 3362220135 |
| Practice Fax Number | 3362228607 |
| Mailing Telephone | 3369321593 |
| Mailing Fax Number | 3362228607 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MR. MALTESE FULLER (PRESIDENT) |
| Authorized Official Telephone | 3369321593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-001-158 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851419089 | Agape Family Care Home Inc. | Custodial Care Facility | 120 Carriage Loop, Burlington, NC 27217-7549 | 2007-03-26 |
| Street Address |
155 CARRIAGE LOOP |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124493945 | Community Care Home | Custodial Care Facility | 1104 S Church St, Burlington, NC 27215-5048 | 2015-12-04 |
| 1851722466 | Hearts of Gold | Custodial Care Facility | 206 Friendly Rd, Burlington, NC 27217-2502 | 2013-12-06 |
| 1972934685 | Shemia Garner | Custodial Care Facility | 914 Dixie St, Burlington, NC 27217-6620 | 2013-12-05 |
| 1598195133 | Hearts of Gold II | Custodial Care Facility | 207 Friendly Rd, Burlington, NC 27217-2501 | 2013-11-18 |
| 1386081909 | Anthony Street Family Care Home | Custodial Care Facility | 123 S Anthony St, Burlington, NC 27215-6601 | 2013-05-23 |
| 1043580061 | Favor and Faith Adult Care Home | Custodial Care Facility | 217 N Gurney St, Burlington, NC 27215-4813 | 2012-01-06 |
| 1841596905 | Warren Care Services, LLC | Custodial Care Facility | 1237 Westmoreland Dr, Burlington, NC 27217-1465 | 2011-02-07 |
| 1780847780 | Dogwood Family Care Home | Custodial Care Facility | 840 Ross St, Burlington, NC 27217-1651 | 2008-07-09 |
| 1124202866 | New Horizons Group Home | Custodial Care Facility | 121 Rolling Rd, Burlington, NC 27217-2603 | 2007-12-17 |
| 1235312133 | Jeffreys Family Care | Custodial Care Facility | 412 New St, Burlington, NC 27217-2438 | 2007-12-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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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.