- Practice location
- 124 Wellesley Ests, Portland, ME 04103-1185
- Phone
- 207-409-4723
- Fax
- —
- Last updated
- November 17, 2023
Agape Residential Care LLC is a healthcare organization based in Portland, ME. Agape Residential Care LLC practices in Portland, ME. The NPI Number for Agape Residential Care LLC is 1124893391. The current practice location address for Agape Residential Care LLC is 124 Wellesley Ests, Portland, ME 04103-1185 and can be reached out via phone at 207-409-4723.
Provider Profile Details
- NPI Number
- 1124893391
- Provider Name
- Agape Residential Care LLC
- Provider Entity Type
- Organization
- Address
- 124 Wellesley Ests, Portland, ME 04103-1185
- Phone Number
- 207-409-4723
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Edison Ntiyomba · Ceo · 207-409-4723
- Other Names
- Agape Residential Care LLC (Doing Business As)
- Provider Enumeration Date
- November 17, 2023
- Last Update Date
- November 17, 2023
- Certification Date
- November 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Wellesley Ests
Portland, ME 04103-1185 - City
- Portland
- State
- Maine
- Zip
- 04103-1185
- Phone Number
- 207-409-4723
Provider Business Mailing Address Details
- Address
- 124 Wellesley Ests
Portland, ME 04103-1185 - City
- Portland
- State
- ME
- Zip
- 04103-1185
- Phone Number
- 207-409-4723
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agape Residential Care LLC?
The NPI number of Agape Residential Care LLC is 1124893391. It was assigned on November 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Agape Residential Care LLC?
Agape Residential Care LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Agape Residential Care LLC practice?
The practice location is 124 Wellesley Ests, Portland, ME 04103-1185. The office can be reached at 207-409-4723 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124893391 directly on the NPPES registry website.