NPIMap

Organization Active NPI

L&H Agape Family Care Homes

Doing business as L&H Agape Family Care

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1235721937
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
L&H AGAPE FAMILY CARE HOMES
Doing business as
L&H Agape Family Care
Practice address
1801 Britton St
Greensboro, NC 27406-3132
Phone
(336) 275-4927
Fax
(336) 937-9157
NPI assigned
Feb 4, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hazel FormanNPI 1205428992
Title
Administrator/Owner
Phone
(336) 860-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

1801 Britton St
Greensboro, NC 27406-3132

Mailing address

1200 Moody St
Greensboro, NC 27401-4217
Phone (336) 860-4060

Other identifiers 1

IdentifierTypeStateIssuer
FCL041082MedicaidNC

Other names 1

  • L&H Agape Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LH Agape Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1801 Britton St
Greensboro, NC 27406
Phone (336) 254-9662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1235721937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOODY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274014217",
            "telephone_number": "336-860-4060",
            "fax_number": "336-937-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BRITTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063132",
            "telephone_number": "336-275-4927",
            "fax_number": "336-937-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&H AGAPE FAMILY CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "336-860-4060"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL041082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L&H Agape Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "L&H Agape Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.