Organization Active NPI

Agape' Adult Day Care Home, LLC

  • Custodial Care Facility
  • Rocky Mount, NC
National Provider Identifier
1679940555
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
AGAPE' ADULT DAY CARE HOME, LLC
Practice address
412 S Grace St
Rocky Mount, NC 27804-5815
Phone
(252) 443-5343
Fax
(844) 279-1837
NPI assigned
Aug 27, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Felise M Knight
Title
Owner
Phone
(919) 532-9837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NC Primary

Addresses

Primary practice location

412 S Grace St
Rocky Mount, NC 27804-5815

Mailing address

1307 Hazelnut Dr
Raleigh, NC 27610-4933
Phone (919) 532-9837

National Provider Directory

National Provider Directory
Tax ID family
Agape' Adult Day Care Center2 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.

Locations

412 S Grace St
Rocky Mount, NC 27804
Phone (252) 443-5343

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1679940555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 HAZELNUT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104933",
            "telephone_number": "919-532-9837",
            "fax_number": "844-279-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S GRACE ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045815",
            "telephone_number": "252-443-5343",
            "fax_number": "844-279-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE' ADULT DAY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "FELISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-532-9837"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.