NPIMap

Organization Active NPI

Agape Adult Day Services and Recreational Center, LLC

  • Adult Day Care Clinic/Center
  • Grenada, MS
National Provider Identifier
1326423492
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
AGAPE ADULT DAY SERVICES AND RECREATIONAL CENTER, LLC
Practice address
141 Sunset Loop
Grenada, MS 38901-4429
Phone
(662) 307-2584
NPI assigned
Jul 29, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Miss Elizabeth Michelle Woods, LMSWNPI 1255429650
Title
Owner/Administrator
Phone
(662) 719-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

141 Sunset Loop
Grenada, MS 38901-4429

Mailing address

PO Box 2087
Grenada, MS 38902-2087
Phone (662) 307-2584

National Provider Directory

National Provider Directory

Locations

141 Sunset Loop
Grenada, MS 38901
Phone (662) 307-2584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1326423492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389022087",
            "telephone_number": "662-307-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SUNSET LOOP",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014429",
            "telephone_number": "662-307-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE ADULT DAY SERVICES AND RECREATIONAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "662-719-6288",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.