Organization Active NPI

Agape Care LLC

  • Home Health Agency
  • Collbran, CO
National Provider Identifier
1205967403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10H563 Issued in CO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
63081750MedicaidCO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.