L&H Agape Family Care Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

L&H AGAPE FAMILY CARE HOMES

Doing business as

L&H Agape Family Care Homes

Practice address

2014 Willow Rd
Greensboro, NC 27406-3832

Phone

(336) 574-2734

Fax

(336) 937-9157

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Hazel FormanNPI 1205428992

Title

Administrator/Owner

Phone

(336) 860-4060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• L&H Agape Family Care Homes Doing business as

Tax ID family

LH Agape Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• L&H Agape Family Care Homes

  dba L&H Agape Family Care

  • Adult Care Home Facility
  • Greensboro, NC
  • NPI 1235721937
  NPD tax ID

Practitioners 1

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.

• Hazel Forman

  • Home Modifications Contractor
  • Greensboro, NC
  • NPI 1205428992
  NPD Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1821682469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOODY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274014217",
            "telephone_number": "336-860-4060",
            "fax_number": "336-937-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WILLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063832",
            "telephone_number": "336-574-2734",
            "fax_number": "336-937-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&H AGAPE FAMILY CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-01-05",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "336-860-4060"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL041081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L&H Agape Family Care Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Semenovna Kyazimova, PA-C
• Tyrone Alexander Kyle, D.O.
• L & L Family Care
• L & L Group, LLC
• L&H Agape Family Care Homes (L&H Agape Family Care)
• Vanna Labi
• Jennifer A. Labonte, MA, LCMHCS, LCAS,CCS
• Labor of Love Family Cares Services, LLC
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Adult Care Home Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.