Organization Active NPI

Agape Care Adult Day Program

  • Adult Care Home Facility
  • Aurora, CO
National Provider Identifier
1740650241
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
21952531 Issued in CO
Legal business name
AGAPE CARE ADULT DAY PROGRAM
Practice address
3131 S Vaughn Way
Ste 110
Aurora, CO 80014-3511
Phone
(303) 368-7200
Fax
(303) 368-7202
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Ojukwu Abiakam
Title
Chief Operations Officer
Phone
(303) 368-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 21952531 CO Primary

Addresses

Primary practice location

3131 S Vaughn Way
Ste 110
Aurora, CO 80014-3511

Mailing address

3131 S Vaughn Way
Ste 110
Aurora, CO 80014-3511
Phone (303) 368-7200

Other identifiers 1

IdentifierTypeStateIssuer
21952531OtherCOMEDICAID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1740650241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY",
            "address_2": "STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143511",
            "telephone_number": "303-368-7200",
            "fax_number": "303-368-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY",
            "address_2": "STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143511",
            "telephone_number": "303-368-7200",
            "fax_number": "303-368-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CARE ADULT DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "ABIAKAM",
        "authorized_official_first_name": "OJUKWU",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "303-368-7200"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "21952531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "21952531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.