NPIMap

Organization Active NPI

Agape Services Inc.

Doing business as Agape Services Child Placing Agency

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Monroe, NC
National Provider Identifier
1679786958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
136 Issued in NC
Legal business name
AGAPE SERVICES INC.
Doing business as
Agape Services Child Placing Agency
Practice address
1505 Skyway Dr
Monroe, NC 28110-3007
Phone
(704) 225-0584
Fax
(704) 292-1915
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William J Massey
Title
Ceo
Phone
(704) 225-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 136 NC Primary

Addresses

Primary practice location

1505 Skyway Dr
Monroe, NC 28110-3007

Mailing address

PO Box 3319
Monroe, NC 28111-3319
Phone (704) 225-0584

Other identifiers 1

IdentifierTypeStateIssuer
136MedicaidNC

Other names 1

  • Agape Services Child Placing Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679786958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3319",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281113319",
            "telephone_number": "704-225-0584",
            "fax_number": "704-292-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SKYWAY DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103007",
            "telephone_number": "704-225-0584",
            "fax_number": "704-292-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-225-0584"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Services Child Placing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.