Active NPI
Agora Care East LLC
- In Home Supportive Care Agency
- Grand Rapids, MI
National Provider Identifier
1265255335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- AGORA CARE EAST LLC
- Practice address
- 300 Ottawa Ave NW Ste 500
Grand Rapids, MI 49503-2311 - Phone
- (469) 778-4843
- NPI assigned
- Nov 6, 2024
- Organization subpart
- Yes
- Parent organization
- AGORA CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar Ali
- Title
- Founder
- Phone
- (469) 778-4843
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
300 Ottawa Ave NW Ste 500
Grand Rapids, MI 49503-2311
Mailing address
1606 Headway Cir Ste 9530
Austin, TX 78754-5123
Phone (469) 778-4843
Other names 1
- Brevy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1265255335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 HEADWAY CIR STE 9530",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787545123",
"telephone_number": "469-778-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OTTAWA AVE NW STE 500",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032311",
"telephone_number": "469-778-4843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGORA CARE EAST LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AGORA CARE, INC.",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "469-778-4843"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brevy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.