Agape Home Living Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AGAPE HOME LIVING CARE, LLC

Practice address

2708 16TH Street
Greensboro, NC 24239-4371

Phone

(336) 324-8008

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Chantay D ParkerNPI 1427401314

Title

Owner

Phone

(336) 324-8008

Specialties & licenses 2

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantay D. Parker

  • Behavior Analyst
  • Greensboro, NC
  • NPI 1427401314
  NPD (past) Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326568239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 16TH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054371",
            "telephone_number": "336-324-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 16TH STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "242394371",
            "telephone_number": "336-324-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME LIVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-324-8008"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "041-1146",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rommel Dizon Agamata
• Agape Care Family Home
• Agape Care Family Home #2
• Agape Clinics PLLC
• Agape Heart Home Care LLC
• Agape Homes Inc
• Agape Psychological
• Salina Agarwal, MD
• Anshul Agarwala, M.D.
• Ravi Agarwala, MD

• All providers in Greensboro, NC
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.