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Agape Family Care Homes, LLC

Organization Active NPI Assisted Living Facility (Mental Illness) · Raleigh, NC

NPI 1215050844 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215050844
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
License
MHL-092-520 (NC)
Legal business name
AGAPE FAMILY CARE HOMES, LLC
Practice address
7320 Bentley Wood LN
Raleigh, NC 27616-6459
Phone
(919) 878-7816
Fax
(919) 876-9252
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Ezuma Asi, RN
Title
Administrator
Phone
(919) 605-6177

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Agape Family Care Homes LLC (10 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-092-520 NC Yes

Addresses

Primary practice location

7320 Bentley Wood LN
Raleigh, NC 27616-6459

Mailing address

7320 Bentley Wood LN
PO Box 14963
Raleigh, NC 27616-6459
Phone (919) 878-7816

Other identifiers

IdentifierTypeStateIssuer
7804686MedicaidNC

Other names

  • agape healthcare services Other name

Other providers in Raleigh, NC

All providers in Raleigh, NC · Assisted Living Facility (Mental Illness) in North Carolina

Sources for this page

Verify at the official NPI Registry.