Organization Active NPI

Agape Residential & Transitional Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cincinnati, OH
National Provider Identifier
1396336996
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AGAPE RESIDENTIAL & TRANSITIONAL SERVICES
Practice address
11446 Fremantle Dr
Cincinnati, OH 45240-2634
Phone
(513) 293-5761
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Leah I Gordon
Title
Owner
Phone
(513) 293-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

11446 Fremantle Dr
Cincinnati, OH 45240-2634

Mailing address

11446 Fremantle Dr
Cincinnati, OH 45240-2634
Phone (513) 293-5761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1396336996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 FREMANTLE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402634",
            "telephone_number": "513-293-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 FREMANTLE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402634",
            "telephone_number": "513-293-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE RESIDENTIAL & TRANSITIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-293-5761"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.