Organization Active NPI

Agape Care Community LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1285946418
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04U711 Issued in CO
Legal business name
AGAPE CARE COMMUNITY LLC
Practice address
12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374
Phone
(303) 368-7200
Fax
(303) 368-7202
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Tonja R Abiakam
Title
President/Ceo
Phone
(303) 368-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04U711 CO Primary

Addresses

Primary practice location

12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374

Mailing address

12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374
Phone (303) 369-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110630000122 CO Part A Provider - Home Health Agency 5991983579 Practice locations: Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285946418. Details of each certification follow.

Home health agency certification: CCN 067495

Legal name
AGAPE CARE COMMUNITY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 18, 2012
Last certification
Mar 9, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 13, 2010 in CO
Enrollment address
2851 S Parker Rd
Ste 1-Ph230
Aurora, CO 80014-2705

Care Compare: Home health agency

Medicare Care Compare
Listed as
Agape Care Community LLCCCN 067495 · All quality measures
Ownership
Proprietary
Certified
Jan 18, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2343703Agape Care Community LLC2851 S Parker Rd, Suite PH30, Aurora, CO 80014Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Agape Care Community2 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

2851 S Parker Rd
Ste 1
Aurora, CO 80014
Phone (303) 368-7200

2851 S Parker Rd
Ph 30
Aurora, CO 80014

1690 S Chambers Rd
Aurora, CO 80017
Phone (303) 368-7200

3410 S Galena St
Ste 300
Denver, CO 80231
Phone (303) 368-7200

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tonja R Abiakam Individual 5% Or Greater Direct Ownership InterestChief Executive Officer May 13, 2010 50%
W-2 Managing EmployeeAd;Chief Executive Officer May 13, 2010 50%
Ojukwu I Abiakam Individual 5% Or Greater Direct Ownership InterestChief Operations Officer May 13, 2010 50%
W-2 Managing EmployeeChief Operations Officer May 13, 2010 50%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1285946418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141374",
            "telephone_number": "303-369-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141374",
            "telephone_number": "303-368-7200",
            "fax_number": "303-368-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CARE COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "ABIAKAM",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-368-7200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04U711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.