Agape Residential Care LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, ME
NPI 1124893391 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1124893391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- AGAPE RESIDENTIAL CARE LLC
- Practice address
- 124 Wellesley Ests
Portland, ME 04103-1185 - Phone
- (207) 409-4723
- NPI assigned
- Nov 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Edison Ntiyomba Sr.
- Title
- Ceo
- Phone
- (207) 409-4723
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
124 Wellesley Ests
Portland, ME 04103-1185
Mailing address
124 Wellesley Ests
Portland, ME 04103-1185
Phone (207) 409-4723
Other names
- Agape Residential Care LLC
Other providers in Portland, ME
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- Aetna Health Inc. (Me)
- Affinity
- Affinityhomecare
- Agape Inc.
- Isha Agarwal
- Richard Tanyi Agbortoko
- Nirupama Aggarwal
- Aging Kingdom Homecare
- Bilal R Ahmad
All providers in Portland, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.