AGAPE COMMUNITY LIVING LLC (NPI# 1164787958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164787958 |
| Entity Type | Organization |
| Organization Name | AGAPE COMMUNITY LIVING LLC |
| Practice Address |
4200 Wallingford Ln Louisville KY 40218-2720 |
| Practice Telephone | 5027493257 |
| Practice Fax Number | 5027423141 |
| Mailing Telephone | 5027493257 |
| Mailing Fax Number | 5027423141 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | MRS. CAROL VIBBERT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5027493257 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 251S00000X | KY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1154568467 | 05 |
| Street Address |
4200 WALLINGFORD LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137414 | Loving Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9105 Kingdom Way, Louisville, KY 40291-3131 | 2019-11-06 |
| 1245883859 | Community and Family Empowerment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11106 Decimal Dr, Louisville, KY 40299-2440 | 2019-07-23 |
| 1740783679 | Gateway Residential Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4321 Southern Pkwy, Louisville, KY 40214-1583 | 2018-03-16 |
| 1578782470 | Tri-generations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11800 Brinley Ave, Suite 101, Louisville, KY 40243-3007 | 2007-04-25 |
| 1821112632 | Day Spring Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3430 Day Spring Ct, Louisville, KY 40213-1061 | 2007-03-19 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1154479392 | Bright Beginnings Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 N 18th St, Louisville, KY 40203-1266 | 2007-01-06 |
| 1255397212 | Meeting Challenges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2210 Goldsmith Ln Ste 122, Louisville, KY 40218-1038 | 2006-04-26 |
| 1992064075 | Guardian Community Living-kentucky, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10503 Timberwood Cir, 116, Louisville, KY 40223-5318 | 2012-05-10 |
| 1093831992 | Christian Care Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12700 Shelbyville Rd, The Cumberland Building, Louisville, KY 40243-1576 | 2007-03-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.