Agape Nursing & Rehabilitation Center, LLC
Organization Active NPI Skilled Nursing Facility · Johnson City, TN
NPI 1780099861 · NPPES record last updated Jan 28, 2015
Key facts
- NPI
- 1780099861
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AGAPE NURSING & REHABILITATION CENTER, LLC
- Practice address
- 105 W Myrtle Ave
Johnson City, TN 37604-5633 - Phone
- (423) 975-5455
- Fax
- (423) 975-5405
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa M. Cawood-Gray
- Title
- Risk Consultant
- Phone
- (423) 773-4485
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | TN | ||
| Skilled Nursing Facility | 314000000X | TN | Yes |
Addresses
Primary practice location
105 W Myrtle Ave
Johnson City, TN 37604-5633
Mailing address
2020 Northpark Dr
Suite 2D
Johnson City, TN 37604-3100
Phone (423) 975-5455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445019 | Medicaid | TN | |
| 7440618 | Medicaid | TN |
Other providers in Johnson City, TN
- Advocate Integrated Medicine PLLC
- Aeroflow Inc.
- Affordable Extractions
- Affordable Transportation
- Agape Health and Rehabilitation Center, LLC
- Agape Rehabilitation & Nursing Center a Waters Community LLC
- Jake Agee
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc
All providers in Johnson City, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.