Organization Active NPI

Agape

  • Foster Care Agency
  • Wake Forest, NC
National Provider Identifier
1972931004
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AAQ Issued in NC
Legal business name
AGAPE
Practice address
2012 S Main St
Wake Forest, NC 27587-5008
Phone
(919) 673-7816
Fax
(919) 792-9551
NPI assigned
Oct 29, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kim Scott, LCSW
Title
Executive Director
Phone
(919) 673-7816

Corporate family (same tax ID) 1

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

National Provider Directory

National Provider Directory
Tax ID family
Agape (2 organizations share this tax ID)

Locations

2012 S Main St
Wake Forest, NC 27587
Phone (919) 673-7816

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X AAQ NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2012 S Main St
Wake Forest, NC 27587-5008

Mailing address

10835 Bedfordtown Dr
Raleigh, NC 27614-8060
Phone (919) 673-7816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2013.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1972931004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 BEDFORDTOWN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148060",
            "telephone_number": "919-673-7816",
            "fax_number": "919-792-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875008",
            "telephone_number": "919-673-7816",
            "fax_number": "919-792-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-673-7816",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": "AAQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.