Agape Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AGAPE SENIOR CARE

Practice address

34692 Imperial LN
Stapleton, AL 36578-4303

Phone

(251) 422-5389

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chastity McCovery, CAREGIVER

Title

Owner

Phone

(251) 422-5389

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1134988314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34692 IMPERIAL LN",
            "city": "STAPLETON",
            "state": "AL",
            "postal_code": "365784303",
            "telephone_number": "251-422-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34692 IMPERIAL LN",
            "city": "STAPLETON",
            "state": "AL",
            "postal_code": "365784303",
            "telephone_number": "251-422-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MCCOVERY",
        "authorized_official_first_name": "CHASTITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-422-5389",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.