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Agapecare Services LLC

Organization Active NPI Assisted Living Facility · Brooklyn Center, MN

NPI 1659942993 · NPPES record last updated Jul 8, 2021

Key facts

NPI
1659942993
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
AGAPECARE SERVICES LLC
Practice address
3818 61St Ave N
Brooklyn Center, MN 55429-2402
Phone
(610) 202-6770
Fax
(952) 516-5152
NPI assigned
Jul 8, 2021
Organization subpart
No

Authorized official

Name
Penninnah Kerubo Obwaya
Title
Clinical RN
Phone
(610) 202-6770

Corporate family (same tax ID) 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2293543Agapecare Services LLC
3818 61St Ave North, Brooklyn Center, MN 55429		Certificate of waiverNov 8, 2027

National Provider Directory

Tax ID family
Agapecare Services LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

3818 61St Ave N
Brooklyn Center, MN 55429-2402

Mailing address

12331 Pineridge Way N
Dayton, MN 55327-2301
Phone (610) 202-6770

Other providers in Brooklyn Center, MN

All providers in Brooklyn Center, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.