Organization Active NPI

Agape Healthcare Agency, LLC

Doing business as Allied Community Support

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1073752572
Registry record updated Feb 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGAPE HEALTHCARE AGENCY, LLC
Doing business as
Allied Community Support
Practice address
1307 E Millbrook Rd
Suite C-23
Raleigh, NC 27609-5476
Phone
(919) 872-5999
Fax
(919) 876-9252
NPI assigned
Feb 7, 2009
Last updated
Feb 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2009

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

Authorized official

Name
Ezuma Asi
Title
Director
Phone
(919) 872-5999

Specialties & licenses 1

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

Addresses

Primary practice location

1307 E Millbrook Rd
Suite C-23
Raleigh, NC 27609-5476

Mailing address

1307 E Millbrook Rd
Suite C-23
Raleigh, NC 27609-5476
Phone (919) 872-5999

Other names 1

  • ALLIED COMMUNITY SUPPORT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233964800000",
    "number": "1073752572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE C-23",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-872-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE C-23",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-872-5999",
            "fax_number": "919-876-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2009-02-07",
        "status": "A",
        "authorized_official_last_name": "ASI",
        "authorized_official_first_name": "EZUMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-872-5999"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIED COMMUNITY SUPPORT",
            "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 Feb 7, 2009; 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.