Good Old Days - At Home Care
LBN: Agap Consumer Directed Services, Llc
Good Old Days - At Home Care is an health care organization with primary practice located at 8090 Mechanicsville Tpke Ste F , Mechanicsville VA 23111-1204. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty.
Agap Consumer Directed Services, Llc can be contacted via phone (804) 723-1374, or through Taylor, Gwendolyn Anita via phone (804) 723-1374.
Contact Information
Primary practice address
8090 Mechanicsville Tpke Ste F
Mechanicsville VA 23111-1204
Phone: (804) 723-1374
Fax: (804) 591-0384
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Virginia | |
Agencies / In Home Supportive Care | 253Z00000X | HCO-171518 | Virginia |
Profile Details
NPI number | 1093105140 |
---|---|
LBN Legal business name | Agap Consumer Directed Services, Llc |
DBA Doing business as | Good Old Days - At Home Care |
Authorized official | Taylor, Gwendolyn Anita ADMINISTRATOR |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 28th, 2015 |
Last updated | Apr 25th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093105140 | NPPES |
Virginia | MEDICAID | 0164177690 |
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