Organization Active NPI

Agape, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Paola, KS
National Provider Identifier
1114139870
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
AGAPE, LLC
Practice address
16046 W 343Rd St
Paola, KS 66071
Phone
(913) 526-2817
NPI assigned
May 4, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mrs. Susan Renae Juarez
Title
Executive Director
Phone
(913) 526-2817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X KS Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X KS
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X KS

Addresses

Primary practice location

16046 W 343Rd St
Paola, KS 66071

Mailing address

34850 Mission Bellview
Louisburg, KS 66053
Phone (913) 526-2817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1114139870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34850 MISSION BELLVIEW",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "66053",
            "telephone_number": "913-526-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16046 W 343RD ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "66071",
            "telephone_number": "913-526-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-526-2817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.