Agape Home Plus LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGAPE HOME PLUS LLC

Practice address

6322 Peach Tree LN
Wichita, KS 67218-1820

Phone

(163) 390-0763

NPI assigned

Jul 2, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Elaine Rodriguez, BSN, RN

Title

Owner/Operator

Phone

(316) 339-0076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1750908091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670020326",
            "telephone_number": "316-253-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 PEACH TREE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181820",
            "telephone_number": "163-390-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-339-0076",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.