Organization Active NPI

Agora Care East LLC

  • In Home Supportive Care Agency
  • Grand Rapids, MI
National Provider Identifier
1265255335
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.