Active NPI
Agape Care LLC
- Home Health Agency
- Collbran, CO
National Provider Identifier
1205967403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 10H563
- Legal business name
- AGAPE CARE LLC
- Practice address
- 54783 Me Rd
Collbran, CO 81624-9722 - Phone
- (970) 250-5655
- Fax
- (970) 487-3231
- NPI assigned
- Mar 8, 2007
- 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
- Chan P Reid
- Title
- Manager of Services
- Phone
- (970) 250-5655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 10H563 | CO | Primary |
Addresses
Primary practice location
54783 Me Rd
Collbran, CO 81624-9722
Mailing address
54783 Me Rd
Collbran, CO 81624-9722
Phone (970) 250-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63081750 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205967403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54783 ME RD",
"city": "COLLBRAN",
"state": "CO",
"postal_code": "816249722",
"telephone_number": "970-250-5655",
"fax_number": "970-487-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54783 ME RD",
"city": "COLLBRAN",
"state": "CO",
"postal_code": "816249722",
"telephone_number": "970-250-5655",
"fax_number": "970-487-3231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "CHAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MANAGER OF SERVICES",
"authorized_official_telephone_number": "970-250-5655"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "10H563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63081750",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collbran, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.