Organization Active NPI

Agape Supportive Living Homecare, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1811245061
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGAPE SUPPORTIVE LIVING HOMECARE, LLC
Practice address
4726 N 37TH St
Milwaukee, WI 53209-5946
Phone
(414) 462-2097
Fax
(414) 444-1617
NPI assigned
Aug 20, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Rosland Annette Anderson
Title
Vice President of Administration
Phone
(414) 462-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4726 N 37TH St
Milwaukee, WI 53209-5946

Mailing address

4726 N 37TH St
Milwaukee, WI 53209-5946
Phone (414) 462-2097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1811245061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095946",
            "telephone_number": "414-462-2097",
            "fax_number": "414-444-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095946",
            "telephone_number": "414-462-2097",
            "fax_number": "414-444-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SUPPORTIVE LIVING HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROSLAND",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMINISTRATION",
        "authorized_official_telephone_number": "414-462-2097"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.