Agape Community Healthcare, P.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

135103 Issued in MO

Legal business name

AGAPE COMMUNITY HEALTHCARE, P.C.

Practice address

3004 S Jefferson Ave
Saint Louis, MO 63118-1513

Phone

(314) 775-8153

Fax

(314) 473-5615

NPI assigned

Dec 24, 2012

Last updated

Oct 29, 2014By 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

Meloni Ann Huddleston, RN, BSN

Title

Director/Manager

Phone

(314) 637-6000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1356307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1154667947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 S JEFFERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181513",
            "telephone_number": "314-775-8153",
            "fax_number": "314-473-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 S JEFFERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181513",
            "telephone_number": "314-775-8153",
            "fax_number": "314-473-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COMMUNITY HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-24",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "MELONI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "314-637-6000",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "135103",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "135103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.