Organization Active NPI

V-Agape,LLC

  • Adult Care Home Facility
  • Lutz, FL
National Provider Identifier
1730579277
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906741 Issued in FL
Legal business name
V-AGAPE,LLC
Doing business as
Tonya Nelson
Practice address
19103 Tracy CT
Lutz, FL 33548-5043
Phone
(813) 968-8214
Fax
(813) 968-8214
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Tonya V Nelson
Title
Owner
Phone
(813) 968-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906741 FL Primary

Addresses

Primary practice location

19103 Tracy CT
Lutz, FL 33548-5043

Mailing address

19103 Tracy CT
Lutz, FL 33548-5043
Phone (813) 968-8214

Other names 1

  • Tonya Nelson Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1730579277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19103 TRACY CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335485043",
            "telephone_number": "813-968-8214",
            "fax_number": "813-968-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19103 TRACY CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335485043",
            "telephone_number": "813-968-8214",
            "fax_number": "813-968-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V-AGAPE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-968-8214"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tonya Nelson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.