Organization Active NPI

The Agape Home Inc.

  • Assisted Living Facility
  • Muskegon, MI
National Provider Identifier
1861601676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE AGAPE HOME INC.
Practice address
4445 S Brooks Rd
Muskegon, MI 49444-9722
Phone
(231) 773-0328
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Harold Ebeling, MPA
Title
President
Phone
(231) 780-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MI Primary

Addresses

Primary practice location

4445 S Brooks Rd
Muskegon, MI 49444-9722

Mailing address

572 Lake Forest LN
Muskegon, MI 49441-4714
Phone (231) 780-2229

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2200406The Agape Home Inc4445 S Brooks Rd, Muskegon, MI 49444Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861601676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 LAKE FOREST LN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414714",
            "telephone_number": "231-780-2229",
            "fax_number": "231-780-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S BROOKS RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449722",
            "telephone_number": "231-773-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AGAPE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBELING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-780-2229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.