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AGAPECARE SERVICES LLC NPI 1659942993


NPI Information

NPI: 1659942993
Provider Name: AGAPECARE SERVICES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2293543

Address:
3818 61ST AVE N
BROOKLYN CENTER, MN
ZIP 55429
Phone: (610) 202-6770
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AGAPECARE SERVICES LLC is an assisted living facility in Brooklyn Center, MN. 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. AGAPECARE SERVICES LLC NPI is 1659942993. The provider is registered as an organization entity type.

The provider's business location address is:

3818 61ST AVE N
BROOKLYN CENTER, MN
ZIP 55429-402
Phone: (610) 202-6770
Fax: (952) 516-5152

The provider's authorized official is Penninnah Kerubo Obwaya .
The authorized official title is Clinical Rn and has the following contact phone number (610) 202-6770.

The CLIA number assigned to this NPI record is 24D2293543 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2021 and was last updated on 7/8/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 5/5/2024

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