AGAPE LIVING LLC (NPI# 1942588587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942588587 |
| Entity Type | Organization |
| Organization Name | AGAPE LIVING LLC |
| Practice Address |
1840 Phinizy Rd Augusta GA 30906-5144 |
| Practice Telephone | 7069932188 |
| Mailing Telephone | 7069932188 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MRS. ELMIRA ELAINE ROULHAC (ADMINISTRATOR) |
| Authorized Official Telephone | 7063061157 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 359961093A | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEPARTMENT OF COMMUNITY HEALTH | 359961093A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427486182 | Agape Living LLC | Residential Treatment Facility, Physical Disabilities | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2013-10-16 |
| Street Address |
1840 PHINIZY RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427486182 | Agape Living LLC | Residential Treatment Facility, Physical Disabilities | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624844 | Marie Bullock | Case Manager/Care Coordinator | 128 Sims Ct, Augusta, GA 30909-9014 | 2019-11-24 |
| 1063876407 | Maxlife Therapeutic Solutions Inc | Case Manager/Care Coordinator | 204b Pitcarin Way, Suite #1, Augusta, GA 30909-5766 | 2016-04-12 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1841607199 | Eleanor Willingham | Case Manager/Care Coordinator | 2225 Woodbluff Way, Augusta, GA 30909-2093 | 2014-07-18 |
| 1982018370 | Stacy L Willis | Case Manager/Care Coordinator | 1007 Caddenwoods Dr, Augusta, GA 30906-5618 | 2014-06-13 |
| 1568885119 | Larictor Tomlin | Case Manager/Care Coordinator | 1871 Heathers Way, Augusta, GA 30906-8110 | 2014-01-31 |
| 1275809576 | Jeanette Diane Wiggleton | Case Manager/Care Coordinator | 3216 Peninsula Dr, Augusta, GA 30909-0603 | 2012-03-30 |
| 1285922823 | Cathy Kelsey | Case Manager/Care Coordinator | 704 Hall St, Augusta, GA 30901-3010 | 2011-07-18 |
| 1841400082 | Shlonda Brown Smith | Case Manager/Care Coordinator | 1928 Kissingbower Rd, Augusta, GA 30904-5158 | 2007-05-23 |
| 1316081870 | Dorothy Marie Edmondson | Case Manager/Care Coordinator | 2364 Franklin St, Augusta, GA 30906-3035 | 2007-02-17 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on AGAPE LIVING LLC.
| 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.