Organization Active NPI

Agape Wound Care LLC

Doing business as Agape Wound Care

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1124818026
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
AGAPE WOUND CARE LLC
Doing business as
Agape Wound Care
Practice address
9556 Park Meadows Dr Ste 300
Lone Tree, CO 80124-5339
Phone
(720) 654-4221
Fax
(720) 596-5254
NPI assigned
May 12, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Jillian Just, PA-CNPI 1013117506
Title
Owner
Phone
(720) 654-4221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

9556 Park Meadows Dr Ste 300
Lone Tree, CO 80124-5339

Mailing address

4466 Dusty Pine TRL
Castle Rock, CO 80109-7717
Phone (720) 654-4221

Other names 1

  • Agape Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613001325 CO Part B Supplier - Clinic/Group Practice 0143731596 Receives reassigned benefits from 1 practitioner
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1124818026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DUSTY PINE TRL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097717",
            "telephone_number": "720-654-4221",
            "fax_number": "720-596-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9556 PARK MEADOWS DR STE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245339",
            "telephone_number": "720-654-4221",
            "fax_number": "720-596-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-654-4221",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.