Organization Active NPI

Abba Agape Care Homes, LLC.

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1528829280
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ABBA AGAPE CARE HOMES, LLC.
Practice address
223 N Burr Oak Rd
Wichita, KS 67206-2105
Phone
(316) 260-1964
Fax
(316) 867-2573
NPI assigned
Jan 19, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Mary Hayes
Title
Director of Operations
Phone
(316) 260-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

223 N Burr Oak Rd
Wichita, KS 67206-2105

Mailing address

223 N Burr Oak Rd
Wichita, KS 67206-2105
Phone (316) 260-1964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1528829280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N BURR OAK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062105",
            "telephone_number": "316-260-1964",
            "fax_number": "316-867-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N BURR OAK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062105",
            "telephone_number": "316-260-1964",
            "fax_number": "316-867-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA AGAPE CARE HOMES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-260-1964"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.