NPIMap

Organization Active NPI

Agape Services Inc

  • Community/Behavioral Health Agency
  • Monroe, NC
National Provider Identifier
1063531200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGAPE SERVICES INC
Practice address
410 Robin Dr
Monroe, NC 28112-6478
Phone
(704) 225-0584
Fax
(704) 292-1915
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William J Massey
Title
Ceo
Phone
(704) 225-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

410 Robin Dr
Monroe, NC 28112-6478

Mailing address

410 Robin Dr
Monroe, NC 28112-6478
Phone (704) 225-0584

Other identifiers 1

IdentifierTypeStateIssuer
8301179BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Agape Services Inc10 organizations share this tax ID, including this one

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063531200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROBIN DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126478",
            "telephone_number": "704-225-0584",
            "fax_number": "704-292-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROBIN DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126478",
            "telephone_number": "704-225-0584",
            "fax_number": "704-292-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-225-0584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301179B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.