Agap Consumer Directed Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AGAP CONSUMER DIRECTED SERVICES, LLC

Doing business as

Good Old Days - At Home Care

Practice address

8090 Mechanicsville Tpke Ste F
Mechanicsville, VA 23111-1204

Phone

(804) 723-1374

Fax

(804) 591-0384

NPI assigned

Jan 28, 2015

Reactivated

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Gwendolyn Anita Taylor, ADMINISTRATOR

Title

Administrator

Phone

(804) 723-1374

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Good Old Days - At Home Care Doing business as

Locations

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1093105140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231110951",
            "telephone_number": "804-723-1374",
            "fax_number": "804-591-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 MECHANICSVILLE TPKE STE F",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111204",
            "telephone_number": "804-723-1374",
            "fax_number": "804-591-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAP CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "deactivation_date": "2018-04-24",
        "reactivation_date": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-723-1374",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-171518",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093105140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Old Days - At Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Adams, PT
• Olivia Manning Adams
• Tiffany Adams, CNM
• Darlene Michelle Adkins, LPTA
• Advanced Adult Day Health Center LLC
• Jessica Agee, PHARMD
• Yasaman Aghaeinejad, LCSW
• Karin Agustin, LSLP
• Olatunde Akinfolajimi, NURSE PRACTITIONER
• Haydar Al-Dabbagh

• Adult Day Care Clinic/Center in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Adult Day Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.