Agape Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

751006

Legal business name

AGAPE HOME CARE LLC

Practice address

4613 NE Work Ave
Vancouver, WA 98663-2159

Phone

(360) 993-7734

NPI assigned

Jan 10, 2018

Last updated

Jun 16, 2018By 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

Calin Buzas

Title

Provider

Phone

(360) 433-5496

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1558879601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 NE WORK AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 NE WORK AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632159",
            "telephone_number": "360-993-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BUZAS",
        "authorized_official_first_name": "CALIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-433-5496"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": "751006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA UBI",
            "identifier": "602731757",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aging Resources
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• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.