Agape II GHSD Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-082-070 Issued in NC

Legal business name

AGAPE II GHSD INC.

Practice address

166 Phillips Rd
Dunn, NC 28334-1382

Phone

(910) 567-2869

Fax

(910) 980-1768

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Hyeson Kim Reed, PROGRAM MANAGER

Title

Ceo

Phone

(910) 980-1085

Specialties & licenses 1

Addresses

Tax ID family

Agape Group Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GHSD Inc. (Dba) Agape Group Homes

  dba Agape Group Homes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Godwin, NC
  • NPI 1023156569
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1013103951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7279 SMITHFIELD RD",
            "city": "GODWIN",
            "state": "NC",
            "postal_code": "283448315",
            "telephone_number": "910-980-1085",
            "fax_number": "910-980-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PHILLIPS RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283341382",
            "telephone_number": "910-567-2869",
            "fax_number": "910-980-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE II GHSD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "HYESON",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-980-1085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PROGRAM MANAGER"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-082-070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tasrif Ahmed, M.D.
• Michael Adebayo Ajakaiye, MD
• Akinwale Stephen Akingbule, MD
• Cynthia C Akpaka, DNP,APRN, FNP, PMHNP
• Ogbonnaya Akuma, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Dunn, NC
• Providers in Dunn, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.