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AGAPE LIVING LLC NPI 1427486182


NPI Information

NPI: 1427486182
Provider Name: AGAPE LIVING LLC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
1840 PHINIZY RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 993-2188
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AGAPE LIVING LLC is a residential treatment facility physical disabilities in Augusta, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. AGAPE LIVING LLC NPI is 1427486182. The provider is registered as an organization entity type.

The provider's business location address is:

1840 PHINIZY RD
AUGUSTA, GA
ZIP 30906-144
Phone: (706) 993-2188
Fax: (706) 993-2188

The provider's authorized official is Elmira Elaine Rouhac .
The authorized official title is Rn and has the following contact phone number (706) 306-1157.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.


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
1320700000XResidential Treatment Facility, Physical Disabilities121-03-020-1GEORGIAYes

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
1359961093BMEDICAIDGEORGIA

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: 4/28/2024

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