Organization Active NPI

Agape in Home Healthcare, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1104225507
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4744 Issued in NC
Legal business name
AGAPE IN HOME HEALTHCARE, LLC
Practice address
1633 Northbrook Dr
Charlotte, NC 28216
Phone
(980) 365-1018
NPI assigned
Aug 21, 2014
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Quanita Henderson
Title
Office Manager
Phone
(980) 365-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4744 NC Primary

Addresses

Primary practice location

1633 Northbrook Dr
Charlotte, NC 28216

Mailing address

PO Box 16726
Charlotte, NC 28297
Phone (980) 365-1018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1104225507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16726",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28297",
            "telephone_number": "980-365-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 NORTHBROOK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28216",
            "telephone_number": "980-365-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE IN HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "QUANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "980-365-1018"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.