Organization Active NPI

Genuine Agape Care

  • Home Infusion Agency
  • Detroit, MI
National Provider Identifier
1053555607
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
230002612990406 Issued in MI
Legal business name
GENUINE AGAPE CARE
Practice address
15802 Lesure St
Detroit, MI 48227-3336
Phone
(877) 526-3186
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mrs. Willie Joyce Johnson, NURSING ASSISTANTNPI 1063656569
Title
President, Ceo
Phone
(877) 526-3186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 230002612990406 MI Primary

Addresses

Primary practice location

15802 Lesure St
Detroit, MI 48227-3336

Mailing address

15802 Lesure St
Detroit, MI 48227-3336
Phone (877) 526-3186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1053555607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273336",
            "telephone_number": "877-526-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273336",
            "telephone_number": "877-526-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE AGAPE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "877-526-3186",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSING ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MI",
            "license": "230002612990406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.