NPIMap

Organization Active NPI

Agape Family Care Homes, LLC.

Doing business as agape @ forest drive

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1053985028
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AGAPE FAMILY CARE HOMES, LLC.
Doing business as
agape @ forest drive
Practice address
5808 Forest Dr
Raleigh, NC 27616-1878
Phone
(919) 605-6177
Fax
(919) 876-9252
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AGAPE FAMILY CARE HOMES, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Jane Asi
Title
Administrator
Phone
(919) 605-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

5808 Forest Dr
Raleigh, NC 27616-1878

Mailing address

PO Box 14963
Raleigh, NC 27620-4963
Phone (919) 605-6177

Other names 1

  • agape @ forest drive Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Family Care Homes LLC10 organizations share this tax ID, including this one
Part of
Agape Family Care Homes LLC

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1053985028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14963",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204963",
            "telephone_number": "919-605-6177",
            "fax_number": "919-876-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 FOREST DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161878",
            "telephone_number": "919-605-6177",
            "fax_number": "919-876-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE FAMILY CARE HOMES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE FAMILY CARE HOMES, LLC.",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ASI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-605-6177"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "agape @ forest drive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.