NPIMap

Organization Active NPI

Agape Living LLC

  • Case Manager/Care Coordinator
  • Augusta, GA
National Provider Identifier
1942588587
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
359961093A Issued in GA
Legal business name
AGAPE LIVING LLC
Practice address
1840 Phinizy Rd
Augusta, GA 30906-5144
Phone
(706) 993-2188
NPI assigned
Aug 1, 2011
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Mrs. Elmira Elaine Roulhac, RN
Title
Administrator
Phone
(706) 306-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 359961093A GA Primary

Addresses

Primary practice location

1840 Phinizy Rd
Augusta, GA 30906-5144

Mailing address

1840 Phinizy Rd
Augusta, GA 30906-5144
Phone (706) 993-2188

National Provider Directory

National Provider Directory
Tax ID family
Agape Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1840 Phinizy Rd
Augusta, GA 30906
Phone (706) 993-2188

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1942588587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PHINIZY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065144",
            "telephone_number": "706-993-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 PHINIZY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065144",
            "telephone_number": "706-993-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "ROULHAC",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-306-1157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "359961093A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.