The Agape Allen's Foundation II

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

THE AGAPE ALLEN'S FOUNDATION II

Practice address

11530 Beatties Ford Rd
Huntersville, NC 28078-8460

Phone

(980) 343-5988

Fax

(980) 343-5990

NPI assigned

Feb 18, 2022

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

THE AGAPE ALLEN'S FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Mr. Zacharias Esaias Allen Sr., TEACHERNPI 1285388801

Title

Pastor/Teacher

Phone

(704) 224-0895

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zacharias Esaias Allen Sr., REVEREND

  • Student in an Organized Health Care Education/Training Program
  • Huntersville, NC
  • NPI 1285388801
  NPD Authorized official
• Jennifer Lee Elliott, ATC, LAT

  • Athletic Trainer
  • Huntersville, NC
  • NPI 1427271279
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1801541792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 GREENRIDGE LN APT 22F",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280819132",
            "telephone_number": "704-224-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 BEATTIES FORD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788460",
            "telephone_number": "980-343-5988",
            "fax_number": "980-343-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AGAPE ALLEN'S FOUNDATION II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE AGAPE ALLEN'S FOUNDATION",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ZACHARIAS",
        "authorized_official_middle_name": "ESAIAS",
        "authorized_official_title_or_position": "PASTOR/TEACHER",
        "authorized_official_telephone_number": "704-224-0895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "TEACHER"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Taylor, NP-C
• Taknicia Taylor, D.C.
• Karim Tazi, MD
• Alison C Thalmann
• Devi Thangavelu, M.D.
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Levine Children's Neurology)
• The Charlotte-Mecklenburg Hospital Authority (Carolina Pediatric Gastroenterology - Huntersville)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Neurology)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Endocrinology Birkdale Landing)
• The Charlotte-Mecklenburg Hospital Authority (NorthEast Pediatric Endocrinology - Huntersville)

• Student in an Organized Health Care Education/Training Program in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.