A.G.a.P.E. Community Development Corporation, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

8700355 Issued in NC

Legal business name

A.G.A.P.E. COMMUNITY DEVELOPMENT CORPORATION, INC.

Doing business as

agape cdc, inc

Practice address

265 Satterwhite Point Road
Henderson, NC 27537

Phone

(252) 433-0364

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By 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

Mr. Alphonso Lee Smith

Title

Ceo

Phone

(252) 433-0364

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• agape cdc, inc Doing business as

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083770598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275360468",
            "telephone_number": "252-433-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SATTERWHITE POINT ROAD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27537",
            "telephone_number": "252-433-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.G.A.P.E. COMMUNITY DEVELOPMENT CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-433-0364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8700355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "agape cdc, inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Henderson, NC
• Providers in Henderson, NC by specialty
• Case Management Agency in North Carolina

• 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.