Active NPI
Arms of Agape Inc
- Home Health Agency
- Douglasville, GA
National Provider Identifier
1821841362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARMS OF AGAPE INC
- Practice address
- 12461 Veterans Memorial Hwy Ste 746
Douglasville, GA 30134-2025 - Phone
- (588) 527-2020
- NPI assigned
- Apr 5, 2024
- Last updated
- Apr 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fatisha Shuntea Jackson, MSN
- Title
- Administrator
- Phone
- (855) 527-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
12461 Veterans Memorial Hwy Ste 746
Douglasville, GA 30134-2025
Mailing address
12461 Veterans Memorial Hwy Ste 746
Douglasville, GA 30134-2025
Phone (588) 527-2020
National Provider Directory
National Provider DirectoryLocations
12461 Veterans Memorial Hwy
Ste 746
Douglasville, GA 30134
Phone (588) 527-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1821841362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12461 VETERANS MEMORIAL HWY STE 746",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342025",
"telephone_number": "588-527-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12461 VETERANS MEMORIAL HWY STE 746",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342025",
"telephone_number": "588-527-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARMS OF AGAPE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "FATISHA",
"authorized_official_middle_name": "SHUNTEA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "855-527-2020",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.