Agape Recovery House LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AGAPE RECOVERY HOUSE LLC

Doing business as

Inner Voyage Recovery Center

Practice address

2230 Towne Lake Pkwy Ste 200
Woodstock, GA 30189-5540

Phone

(404) 713-4280

NPI assigned

Jul 2, 2021

Last updated

Aug 26, 2024By 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

Jeff Bennett Baucom, CACI

Title

Owner/Operator

Phone

(404) 713-4280

Specialties & licenses 4

Addresses

Other names 1

• Inner Voyage Recovery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Adam Aicher, LCSW

  • Clinical Social Worker
  • Woodstock, GA
  • NPI 1083495238
  NPD
• Ali Taylor Delen, MS, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Woodstock, GA
  • NPI 1720613615
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1053982827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "address_2": "BLDG 900 STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895546",
            "telephone_number": "404-713-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895540",
            "telephone_number": "404-713-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE RECOVERY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "404-713-4280",
        "authorized_official_credential": "CACI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Voyage Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inner Voyage Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aegis Group Practice LLC
• Aegis Group Practice, LLC
• Afc Physicians of Georgia, PC
• Agape Chronic Care, LLC
• Agape Hospice Care of Cherokee County, LLC (Agape Hospice Care)
• Obinna Nnamani Agbo, PHARM.D
• Nazila Aghazadeh, LPC
• James Agler
• Brian Adam Aicher, LCSW
• Laura Ainley, PTA

• Substance Use Disorder Rehabilitation Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.