AGAPE FAMILY HOME, LLC (NPI# 1528506086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528506086 |
| Entity Type | Organization |
| Organization Name | AGAPE FAMILY HOME, LLC |
| Practice Address |
2604 Johnson Rd Upper Chichester PA 19061-3523 |
| Practice Telephone | 2674082202 |
| Mailing Telephone | 2674082202 |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | RACHEAL CHRISTIANA BUNDOR (OWNER) |
| Authorized Official Telephone | 2674082202 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 103027299 | PA | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
103027299 | PA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
103027299 | PA | Nursing Service Providers |
| N | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
103027299 | PA | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
103027299 | PA | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
103027299 | PA | Nursing Service Providers |
| N | 163WI0600X |
Registered Nurse Specialization: Infection Control |
103027299 | PA | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
103027299 | PA | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
103027299 | PA | Nursing Service Providers |
| N | 163WX1500X |
Registered Nurse Specialization: Ostomy Care |
103027299 | PA | Nursing Service Providers |
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
103027299 | PA | Nursing Service Providers |
| N | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
103027299 | PA | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
103027299 | PA | Nursing Service Providers |
| N | 253Z00000X | In Home Supportive Care | 103027299 | PA | Agencies |
| Y | 164W00000X | Licensed Practical Nurse | 103027299 | PA | Nursing Service Providers |
| Street Address |
2604 JOHNSON RD |
| City | UPPER CHICHESTER |
| State | PA |
| Zip Code | 19061-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174984157 | Racheal Bundor | Day Training/Habilitation Specialist | 2604 Johnson Rd, Upper Chichester, PA 19061-3523 | 2016-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932010 | Ems Factory Inc | Ambulance | 1628 Huddell Avenue, Boothwyn, PA 19061 | 2011-07-15 |
| 1194928655 | Patricia Anne Wardius | Dentist | 3129 Naamans Creek Road, Boothwyn, PA 19061 | 2007-06-11 |
| 1912110438 | Critical Care Systems | Preferred Provider Organization | 3901 Columbia Avenue, Suite100, Linwood, PA 19061 | 2007-05-08 |
| 1205048790 | Diane Faith Senn | Pharmacist | 643 Conchester Highway, Boothwyn, PA 19061 | 2007-05-04 |
| 1205048709 | Nicole Marie Nelson | Speech-Language Pathologist | Naamans Creek Country Manor, 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-05-04 |
| 1932221322 | Marcus Hook-trainer Fire Dept Station 68 Inc | Ambulance | 617 East 10 St, Marcus Hook, PA 19061 | 2007-04-04 |
| 1215059175 | Sarah Margaret Clark | Physical Therapist | 1194 Naanans Creek Rd, Boothwyn, PA 19061 | 2007-04-04 |
| 1235257783 | Julie Ramsey | Occupational Therapist | 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-03-26 |
| 1316071293 | Nancy Elizabeth Jordan | Physical Therapist | 1531 Springmeadow Ln., Boothwyn, PA 19061 | 2007-03-15 |
| 1306979133 | Elwyn | Intermediate Care Facility, Mentally Retarded | 5240 Chichester Ave., Boothwyn, PA 19061 | 2007-03-13 |
| Find all providers in zip 19061 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013395987 | Felicia Clausen | Licensed Practical Nurse | 922 Kingsman Rd, Upper Chichester, PA 19061-3121 | 2015-05-12 |
| 1669900205 | Shacona Terrell Howie | Licensed Practical Nurse | 1117 Washington Ave, Upper Chichester, PA 19061-4536 | 2017-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | UPPER CHICHESTER |
| Zip Code | 19061 |
Please comment or provide details below to improve the information on AGAPE FAMILY HOME, LLC.
| 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.