Organization Active NPI

Agape Awesome Arrivals LLC

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1366181786
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AGAPE AWESOME ARRIVALS LLC
Practice address
6529 W Fond Du Lac Ave
Milwaukee, WI 53218-4970
Phone
(414) 502-8636
NPI assigned
Jun 2, 2022
Organization subpart
Yes
Parent organization
AGAPE HOME HEALTH CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Mrs. Tranaise Scott
Title
Owner
Phone
(414) 502-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6529 W Fond Du Lac Ave
Milwaukee, WI 53218-4970

Mailing address

6529 W Fond Du Lac Ave
Milwaukee, WI 53218-4970
Phone (414) 502-8636

Other identifiers 1

IdentifierTypeStateIssuer
100042991MedicaidWI

Other names 1

  • Agape Home Health Care LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Drives

National Provider Directory

National Provider Directory
Part of
Agape Home Health Care LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1366181786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184970",
            "telephone_number": "414-502-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184970",
            "telephone_number": "414-502-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE AWESOME ARRIVALS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE HOME HEALTH CARE LLC",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TRANAISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-502-8636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042991",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drives",
            "affiliation": "N",
            "endpointDescription": "Mapping  Drives",
            "address_1": "6529 W Fond Du Lac Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532184970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Agape Home Health Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.