Agape Nursing & Rehabilitation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF837 Issued in SC

Legal business name

AGAPE NURSING & REHABILITATION, INC.

Practice address

300 Agape Dr
West Columbia, SC 29169-3307

Phone

(803) 739-5282

Fax

(803) 936-8970

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott Middleton

Title

Ceo

Phone

(803) 454-0365

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689615064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AGAPE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693307",
            "telephone_number": "803-739-5282",
            "fax_number": "803-936-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AGAPE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693307",
            "telephone_number": "803-739-5282",
            "fax_number": "803-936-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE NURSING & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-454-0365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0837NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Skilled Nursing Facility in South Carolina

• 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.