The Agape Health Group, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R2511 Issued in MD

Legal business name

THE AGAPE HEALTH GROUP, INC

Practice address

7312 Riverhill Rd
Oxon Hill, MD 20745

Phone

(301) 203-4304

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

David Jackson

Title

President/Administrator

Phone

(301) 203-4304

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Agape Health and Life Solutions Doing business as

Tax ID family

Agape Health and Life Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Agape Health Group, Inc

  • In Home Supportive Care Agency
  • Fort Washington, MD
  • NPI 1992132799
  NPD tax ID

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1568645588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 RIVERHILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451031",
            "telephone_number": "301-203-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 RIVERHILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "20745",
            "telephone_number": "301-203-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10903 Indian Head Hwy",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444000",
            "country_code": "US",
            "telephone_number": "301-203-4304",
            "fax_number": "301-560-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE AGAPE HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-203-4304"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2511",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "1307002",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3954021-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839021-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Health and Life Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Health and Life Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.