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AGAPE LIFE CARE CENTER NPI 1841862299


NPI Information

NPI: 1841862299
Provider Name: AGAPE LIFE CARE CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2248959

Address:
1633 NORTHBROOK DR
CHARLOTTE, NC
ZIP 28216
Phone: (704) 548-0567
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AGAPE LIFE CARE CENTER is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AGAPE LIFE CARE CENTER NPI is 1841862299. The provider is registered as an organization entity type.

The provider's business location address is:

1633 NORTHBROOK DR
CHARLOTTE, NC
ZIP 28216-777
Phone: (704) 548-0567

The provider's authorized official is Quanita Henderson .
The authorized official title is Owner and has the following contact phone number (704) 548-0567.

The CLIA number assigned to this NPI record is 34D2248959 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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.