Organization Active NPI

Arms of Agape Inc

  • Home Health Agency
  • Douglasville, GA
National Provider Identifier
1821841362
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.