Organization Active NPI

Agape Community Social Services, Inc

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1053686766
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC50078853 Issued in DC
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.