Active NPI
Agape Community Living, LLC
- Community/Behavioral Health Agency
- Louisville, KY
National Provider Identifier
1154568467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AGAPE COMMUNITY LIVING, LLC
- Practice address
- 8832 Moody Rd
#204
Louisville, KY 40219-5856 - Phone
- (502) 608-6980
- Fax
- (502) 742-3595
- NPI assigned
- Jan 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol Vibbert, RN, BSN
- Title
- Executive Director
- Phone
- (502) 498-9713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
8832 Moody Rd
#204
Louisville, KY 40219-5856
Mailing address
8832 Moody Rd
#204
Louisville, KY 40219-5856
Phone (502) 608-6980
National Provider Directory
National Provider Directory- Tax ID family
- Agape Community Living LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Louisville, KY
- NPI 1164787958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1154568467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8832 MOODY RD",
"address_2": "#204",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402195856",
"telephone_number": "502-608-6980",
"fax_number": "502-742-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8832 MOODY RD",
"address_2": "#204",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402195856",
"telephone_number": "502-608-6980",
"fax_number": "502-742-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE COMMUNITY LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "VIBBERT",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "502-498-9713",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.