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:
Map and Directions
Authorized official contact:
Name: Taylor, Gwendolyn Anita ADMINISTRATOR
Phone: (804) 723-1374

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093105140 NPPES
Virginia MEDICAID 0164177690

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