AGAPE ANGELS (NPI# 1396210076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396210076 |
| Entity Type | Organization |
| Organization Name | AGAPE ANGELS |
| Practice Address |
1418 Brice Rd Ste 100 Reynoldsburg OH 43068-2397 |
| Practice Telephone | 6143676605 |
| Practice Fax Number | 6143676499 |
| Mailing Telephone | 6143676605 |
| Mailing Fax Number | 6143676499 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | ANGEL A COLBERT (CEO) |
| Authorized Official Telephone | 6146493576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AGAPE ANGELS ACADEMY CHILD DEVELOPMENT CENTER | 72 Westbank Expy, Gretna, LA 70053-3654 |
| Street Address |
1418 BRICE RD STE 100 |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447347 | Tamara Lynn Hershberger | Respite Care | 2291 Stahl Rd, Coventry Township, OH 44319-1321 | 2020-11-05 |
| 1639770274 | The Genesis Program | Respite Care | 1104 Johnston St, Akron, OH 44305-2414 | 2020-11-02 |
| 1649870379 | Jeanne Watson | Respite Care | 254 S Oval Dr, Chardon, OH 44024-1462 | 2020-10-30 |
| 1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
| 1508465527 | Mercer Residential Services | Respite Care | 420 S Sugar St, Celina, OH 45822-2431 | 2020-10-21 |
| 1386242121 | Brian Francis Chutes | Respite Care | 110 Harmon Ct, Lagrange, OH 44050-9776 | 2020-10-14 |
| 1750989794 | Sharon Kay Skeriotis | Respite Care | 2285 Briner Ave, Akron, OH 44305-2140 | 2020-10-12 |
| 1437757671 | Janice Marie Shipman | Respite Care | 15103 S State Ave, Middlefield, OH 44062-9467 | 2020-10-10 |
| 1144827494 | Ashley Brzozowski | Respite Care | 12310 Zrolka Dr, Huntsburg, OH 44046-9788 | 2020-10-08 |
| 1649877168 | Kim M. Bolton | Respite Care | 3666 W 159th St, Cleveland, OH 44111-5706 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
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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.