Agape Health Care LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

RN2266427 Issued in MA

Legal business name

AGAPE HEALTH CARE LLC

Practice address

15 King St
Orange, MA 01364-1722

Phone

(978) 633-4193

Fax

(978) 633-4133

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By 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

Mrs. Izabela Malgorzata Faneuf, RN BBA

Title

Ceo

Phone

(978) 633-4193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1245517630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KING ST",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641722",
            "telephone_number": "978-633-4193",
            "fax_number": "978-633-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KING ST",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641722",
            "telephone_number": "978-633-4193",
            "fax_number": "978-633-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "FANEUF",
        "authorized_official_first_name": "IZABELA",
        "authorized_official_middle_name": "MALGORZATA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-633-4193",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BBA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "RN2266427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel Aaron, LICSW,LADCI, CADCII,
• Bashaer Abosalem, DDS
• Rebecca Ann Anderholm, R.N.
• Grace A Archer, MSW
• Ashley Thiboutot, LMHC,LLC
• Robin Baldinelli, RECOVERY COACH
• Morgan Ban-Draoi, MA, LMHC

• Custodial Care Facility in Orange, MA
• Providers in Orange, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.