Active NPI
Agape Care Community LLC
- Home Health Agency
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04U711
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Jan 18, 2012
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2343703 | Agape Care Community LLC | Certificate of waiver | May 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Agape Care Community
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Aurora, CO
- NPI 1265891188
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tonja R Abiakam | 5% Or Greater Direct Ownership Interest | May 13, 2010 | 50% |
| W-2 Managing Employee | May 13, 2010 | 50% | |
| Ojukwu I Abiakam | 5% Or Greater Direct Ownership Interest | May 13, 2010 | 50% |
| W-2 Managing Employee | 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.
-
- Community/Behavioral Health Agency
- Aurora, CO
- NPI 1265891188
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.