Agape Nursing & Rehabilitation Center, Llc

LBN: Agape Nursing & Rehabilitation Center, Llc
Agape Nursing & Rehabilitation Center, Llc is an health care organization with primary practice located at 105 W Myrtle Ave , Johnson City TN 37604-5633. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Agape Nursing & Rehabilitation Center, Llc can be contacted via phone (423) 975-5455, or through Cawood-Gray, Lisa M. via phone (423) 773-4485.

Contact Information

Primary practice address
105 W Myrtle Ave Johnson City TN 37604-5633
Phone: (423) 975-5455
Fax: (423) 975-5405
Website:
Map and Directions
Authorized official contact:
Name: Cawood-Gray, Lisa M.
Phone: (423) 773-4485

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Tennessee

Profile Details

NPI number 1780099861
LBN Legal business name Agape Nursing & Rehabilitation Center, Llc
DBA Doing business as
Authorized official Cawood-Gray, Lisa M.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Jan 28th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780099861 NPPES
Tennessee MEDICAID 0445019
Tennessee MEDICAID 7440618

Popular Providers