Organization Active NPI

Agape Living LLC

Doing business as Agape Living Assisted Living

  • Assisted Living Facility
  • Silver Spring, MD
National Provider Identifier
1790664514
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AGAPE LIVING LLC
Doing business as
Agape Living Assisted Living
Agape Living LLC
Practice address
1300 Cresthaven Dr
Silver Spring, MD 20903-1106
Phone
(301) 328-0085
Fax
(240) 885-5142
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Mr. Dereje Assebot Abebe, MSN, BSN, RN, DN
Title
Manager
Phone
(443) 320-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1300 Cresthaven Dr
Silver Spring, MD 20903-1106

Mailing address

1300 Cresthaven Dr
Silver Spring, MD 20903-1106
Phone (443) 320-3284

Other names 2

  • Agape Living Assisted Living Doing business as
  • Agape Living LLC 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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1790664514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CRESTHAVEN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031106",
            "telephone_number": "443-320-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CRESTHAVEN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031106",
            "telephone_number": "301-328-0085",
            "fax_number": "240-885-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ABEBE",
        "authorized_official_first_name": "DEREJE",
        "authorized_official_middle_name": "ASSEBOT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-320-3284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, BSN, RN, DN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Living Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.