Agape Care North Carolina, LLC
Organization Active NPI Community Based Hospice Care Agency · Forest City, NC
NPI 1841904620 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1841904620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- AGAPE CARE NORTH CAROLINA, LLC
- Practice address
- 374 Hudlow Rd
Forest City, NC 28043-9444 - Phone
- (828) 245-0095
- Fax
- (828) 248-1035
- NPI assigned
- Jan 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Pamela Duncan
- Title
- Chief Compliance Officer
- Phone
- (800) 932-2738
Owners & managing parties with NPI records 1
-
Michele L. Mercer, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 1
Change of ownership 1
Facilities with the same owner 32
Practitioners 8
-
Donald Jason Bledsoe, AGPCNP
-
Nicole Marie Justus, FNP-C
-
Anna Baker Sane, FNP
-
Michele L. Mercer, M.D.
-
Elizabeth Z Thelan, CPNP
-
Sherri M Wilkes, FNP
-
Adrian Bryson Krause, FNP-C
Affiliated clinicians 17
-
Eric Wayne Byrd, MD
-
Katherine Grimes Crum, M.D.
-
Blair Lyn Holl, MD
-
Rabi D Kutob, MD
-
Matthew Langdon Moye, D.O.
-
John Doug Nelson, M.D.
-
Mark Rohrer, MD
-
Golnosh Sharafsaleh, MD, MS
-
Jeffrey Kip Viar, DO
-
Dewey Todd Detar, DO
-
Vincent Mark Yavorek, M.D.
Medicare Care Compare: Hospice
- Listed as
- Hospice of the Carolina Foothills
- Ownership
- Non-Profit
- Certified
- Feb 29, 1988
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospice certification: CCN 341528
- Legal name
- AGAPE CARE NORTH CAROLINA LLC
- Doing business as
- HOSPICE OF THE CAROLINA FOOTHILLS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 29, 1988
- Last certification
- Oct 20, 2004
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 24, 2021 in NC
- Enrollment address
- 374 Hudlow Rd
Forest City, NC 28043-9444
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Jordan Crumley |
W-2 Managing Employee |
May 20, 2022 | |
| Linden Capital Partners V-a LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 16.31% |
| Acg Intermediate, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rep Coinvest III Agp Blocker, Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.41% |
| Troy Yarborough |
Corporate Officer |
May 20, 2022 | |
| Hayley Eby |
W-2 Managing Employee | May 20, 2022 | |
| CDPQ Fonds 780, S.E.C |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 20.53% |
| Acg Parent Holdings, LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Arrow Management Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 84.39% |
| Linden Investments III LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 14.33% |
| Rep Agp II Holdco, LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.23% |
| Janelle I Plows |
W-2 Managing Employee |
May 20, 2022 | |
| Marsha Hayes |
W-2 Managing Employee |
May 20, 2022 | |
| Acg Intermediary LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Michele L Mercer |
Contracted Managing Employee |
Jan 1, 2021 | |
| TVG HCSC Blocker, LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 15.61% |
| Elizabeth Donald |
Corporate Director |
Aug 26, 2025 | |
| Pamela a Duncan Owens |
Corporate Officer |
May 20, 2022 | |
| Rep Agp III Blocker, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 9.82% |
| Linden Capital Partners V LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 10.39% |
| Acg Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rhonda Hamilton |
Corporate Officer |
Mar 1, 2025 | |
| Acg Acquisition LLC |
5% Or Greater Direct Ownership Interest | Jul 25, 2025 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| May 20, 2022 | Change of Ownership |
Hospice of the Carolina Foothills |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230609002493 | NC | Part a Provider - Hospice | 3072982701 | Practice locations: Forest City, NC; Saluda, NC |
| O20231011001076 | NC | Part B Supplier - Clinic/Group Practice | 3072982701 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Forest City, NC |
National Provider Directory
Locations
374 Hudlow Rd
Forest City, NC 28043
Phone (828) 245-0095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes | ||
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
374 Hudlow Rd
Forest City, NC 28043-9444
Mailing address
187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738
Other practice location 1
155 W Mills St Ste 108
Columbus, NC 28722-9426
Phone (828) 245-0095
Other names
- Hospice of the Carolina Foothills
Other providers in Forest City, NC
- Abc Podiatry
- Abundant Alternatives LLC
- Acrn - Allied Comprehensive Recovery Network
- Advantage Home and Community Care Inc.
- Agape Care North Carolina, LLC
- Dawne Arlene Akuneme
- Mallory Elizabeth Alcala
- John Paul Allen
- Stephanie Oakes Allen
- Alpha & Omega Speech Therapy Consultants, PLLC
All providers in Forest City, NC · Community Based Hospice Care Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.