AGAPE FAMILY CARE HOMES, LLC (NPI# 1881714731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881714731 |
| Entity Type | Organization |
| Organization Name | AGAPE FAMILY CARE HOMES, LLC |
| Other Organization Name | AGAPE HEALTHCARE SERVICES |
| Practice Address |
3905 Marsh Creek Rd Raleigh NC 27604-4108 |
| Mailing Address |
3905 Marsh Creek Rd Po Box 14963 Raleigh NC 27604-4108 |
| Practice Telephone | 9198751316 |
| Practice Fax Number | 9198769252 |
| Mailing Telephone | 9198751316 |
| 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-092-539 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804802 | 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 |
| 1699895540 | Agape Family Care Homes, LLC | Assisted Living Facility | 2336 Ravenhill Dr, Raleigh, NC 27615-7531 | 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 |
3905 MARSH CREEK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776430 | Divine Supportive Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 3905 Marsh Creek Rd, Raleigh, NC 27604-4108 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| 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 |
| 1699895540 | Agape Family Care Homes, LLC | Assisted Living Facility | 2336 Ravenhill Dr, Raleigh, NC 27615-7531 | 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.