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NPI Information

NPI: 1114472263

Doing Business As: RUDY'S AGAPE HOUSE II

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
2104 55TH AVE W
ZIP 34207
Phone: (941) 755-0225
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RUDY'S AGAPE HOUSE, LLC is an assisted living facility in Bradenton, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RUDY'S AGAPE HOUSE, LLC NPI is 1114472263. The provider is registered as an organization entity type.
The provider Is Doing Business As Rudy's Agape House Ii.

The provider's business location address is:

2104 55TH AVE W
ZIP 34207-240
Phone: (941) 755-0225
Fax: (941) 460-4304

The provider's authorized official is Nancy E Cushman .
The authorized official title is Owner and has the following contact phone number (941) 756-0200.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility12857FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.