Agape Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

381466 Issued in MN

Legal business name

AGAPE HEALTHCARE SERVICES INC

Practice address

6040 Earle Brown Dr Ste 270
Brooklyn Center, MN 55430-4527

Phone

(763) 703-5986

Fax

(763) 600-6102

NPI assigned

Oct 12, 2017

Last updated

Nov 9, 2017By 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

Mr. Alfred Zaccheus Payne Sr.

Title

President/Ceo

Phone

(763) 234-6433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1790296168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 270",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304527",
            "telephone_number": "763-703-5986",
            "fax_number": "763-600-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 270",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304527",
            "telephone_number": "763-703-5986",
            "fax_number": "763-600-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "ZACCHEUS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "763-234-6433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "381466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.