NPI 1114635935 · live from the CMS NPI Registry
Agape Nurse Agency LLC
Registered Nurse, General Practice in Grovetown, GA. National Provider Identifier 1114635935, active.
NPI record
| NPI | 1114635935 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1446 Sawmill Trl, Grovetown, GA 30813 |
| Practice phone | 706-495-6485 |
| Enumerated | November 10, 2022 |
| Last updated | November 10, 2022 |
| Authorized official | Lakesha Armstrong, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals | 174200000X | — |
| Home Health | 251E00000X | — |
| Nursing Care | 251J00000X | — |
| Voluntary or Charitable | 251V00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| Clinic/Center, Community Health | 261QC1500X | — |
| Clinic/Center, Health Services | 261QH0100X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Research | 261QR1100X | — |
| General Acute Care Hospital, Critical Access | 282NC0060X | — |
| Alzheimer Center (Dementia Center) | 311500000X | — |
| Registered Nurse, General Practice primary | 163WG0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.