NPIMap

Organization Active NPI

Agape II

  • Assisted Living Facility
  • Monroe, NC
National Provider Identifier
1841330776
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
MHL090073 Issued in NC
Legal business name
AGAPE II
Practice address
1008 Griffith Rd
Monroe, NC 28112-6241
Phone
(704) 225-0584
Fax
(704) 292-1915
NPI assigned
Feb 8, 2007
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
William Massey
Title
Prsident
Phone
(704) 225-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MHL090073 NC Primary

Addresses

Primary practice location

1008 Griffith Rd
Monroe, NC 28112-6241

Mailing address

1505 Skyway Dr
Monroe, NC 28110-3007
Phone (704) 225-0584

Other identifiers 1

IdentifierTypeStateIssuer
6604025MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Agape Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1505 Skyway Dr
Monroe, NC 28110
Phone (704) 225-0584

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1841330776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SKYWAY DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103007",
            "telephone_number": "704-225-0584",
            "fax_number": "704-225-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GRIFFITH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126241",
            "telephone_number": "704-225-0584",
            "fax_number": "704-292-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "704-225-0584"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "MHL090073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.