Agmb Healthcare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AGMB HEALTHCARE

Doing business as

The Senior Care Place

Practice address

107 Commons Dr Ste a
Mooresville, NC 28117-9262

Phone

(980) 444-6319

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

AGMB HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Helen Richardson-Davis

Title

President / Executive Director

Phone

(980) 444-6319

Specialties & licenses 1

Addresses

Other names 1

• The Senior Care Place Doing business as

Electronic endpoints 1

Part of

Agmb Healthcare

Locations

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1114682275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMONS DR STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179262",
            "telephone_number": "980-444-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COMMONS DR STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179262",
            "telephone_number": "980-444-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGMB HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGMB HEALTHCARE, INC.",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON-DAVIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-444-6319"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcc@theseniorcareplace.com",
            "affiliation": "N",
            "endpointDescription": "nursing office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Commons Dr Ste A",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Senior Care Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.