Agape Home Care LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

AGAPE HOME CARE LLC

Practice address

606 W 2ND St
Roswell, NM 88201-4616

Phone

(505) 622-1837

Fax

(505) 622-1838

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Leyva

Title

Managing Member

Phone

(575) 420-1348

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1932367745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3372",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882023372",
            "telephone_number": "505-622-1837",
            "fax_number": "505-622-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 2ND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014616",
            "telephone_number": "505-622-1837",
            "fax_number": "505-622-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "575-420-1348"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7290905",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Supports Brokerage Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.