Agape Residential Care
Organization Active NPI Community/Behavioral Health Agency · Portsmouth, VA
NPI 1487367223 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1487367223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AGAPE RESIDENTIAL CARE
- Practice address
- 934 Jefferson St
Portsmouth, VA 23704-5628 - Phone
- (757) 372-1149
- NPI assigned
- Dec 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Ronald Eugene Garrett Jr.
- Title
- Ceo
- Phone
- (757) 372-1149
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
934 Jefferson St
Portsmouth, VA 23704-5628
Mailing address
5141 Lake Shore Dr
Chesapeake, VA 23321-1220
Phone (757) 372-1149
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All providers in Portsmouth, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.