Active NPI
Agape Community Social Services, Inc
- Community/Behavioral Health Agency
- Washington, DC
National Provider Identifier
1053686766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LC50078853
- Legal business name
- AGAPE COMMUNITY SOCIAL SERVICES, INC
- Practice address
- 2412 Minnesota Avenue SE
Suite 104
Washington, DC 20020-5300 - Phone
- (202) 506-2970
- Fax
- (202) 506-2972
- NPI assigned
- Mar 13, 2012
- Last updated
- Mar 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sallie Mae Echols, LICENSED INDIVIDUAL
- Title
- Chief Executive Officer
- Phone
- (240) 393-0341
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | LC50078853 | DC | |
| Community/Behavioral Health Agency | 251S00000X | LC50078853 | DC | Primary |
Addresses
Primary practice location
2412 Minnesota Avenue SE
Suite 104
Washington, DC 20020-5300
Mailing address
2412 Minnesota Avenue SE
Suite 104
Washington, DC 20020-5300
Phone (202) 506-2970
National Provider Directory
National Provider DirectoryLocations
2412 Minnesota Ave SE
Ste 104
Washington, DC 20020
Phone (202) 506-2970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1053686766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 MINNESOTA AVENUE SE",
"address_2": "SUITE 104",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205300",
"telephone_number": "202-506-2970",
"fax_number": "202-506-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 MINNESOTA AVENUE SE",
"address_2": "SUITE 104",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205300",
"telephone_number": "202-506-2970",
"fax_number": "202-506-2972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE COMMUNITY SOCIAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "ECHOLS",
"authorized_official_first_name": "SALLIE",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "240-393-0341",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICENSED INDIVIDUAL"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "DC",
"license": "LC50078853",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "DC",
"license": "LC50078853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.