Agape Restore Restyle and Clean,Inc

Primary specialty

ContractorTaxonomy code 171W00000X

License

20630898 Issued in MN

Legal business name

AGAPE RESTORE RESTYLE AND CLEAN,INC

Doing business as

Agape Services

Practice address

500 Wyoming St E
Saint Paul, MN 55107-2473

Phone

(612) 849-8811

Fax

(651) 493-0725

NPI assigned

May 9, 2011

Last updated

May 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly McMonigal, MA

Title

President

Phone

(612) 849-8811

Specialties & licenses 3

Addresses

Other names 1

• Agape Services Doing business as

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1366734352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WYOMING ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072473",
            "telephone_number": "612-849-8811",
            "fax_number": "651-493-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WYOMING ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072473",
            "telephone_number": "612-849-8811",
            "fax_number": "651-493-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE RESTORE RESTYLE AND CLEAN,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "MCMONIGAL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-849-8811",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "MN",
            "license": "20630898",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Contractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.