Active NPI
Agape Wave LLC
- Adult Day Care Clinic/Center
- Kansas City, MO
National Provider Identifier
1497554943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AGAPE WAVE LLC
- Practice address
- 6840 Prospect Ave
Kansas City, MO 64132-1302 - Phone
- (816) 214-3009
- NPI assigned
- Mar 10, 2025
- Last updated
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amron W Jackson
- Title
- Owner
- Phone
- (816) 214-3009
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
6840 Prospect Ave
Kansas City, MO 64132-1302
Mailing address
3519 Cypress Ave
Kansas City, MO 64128-2838
Phone (816) 214-3009
National Provider Directory
National Provider Directory- Tax ID family
- Agape Wave LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kansas, MO
- NPI 1891651543
Locations
6840 Prospect Ave
Kansas City, MO 64132
Phone (816) 214-3009
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Health Agency
- Kansas, MO
- NPI 1891651543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1497554943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 CYPRESS AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282838",
"telephone_number": "816-214-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 PROSPECT AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321302",
"telephone_number": "816-214-3009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE WAVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-08",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "AMRON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-214-3009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.