NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

AGAPE COMMUNITY LIVING LLC

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


Contact Information

AGAPE COMMUNITY LIVING LLC
4200 WALLINGFORD LN
LOUISVILLE, KY40218-2720
 Phone: 502-749-3257
 Fax: 502-742-3141
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

320900000X
Indicates primary specialty

NPI Profile for AGAPE COMMUNITY LIVING LLC

NPI Number 1164787958
LBN Legal business name AGAPE COMMUNITY LIVING LLC
Authorized official CAROL VIBBERT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2012
Last updated 07/09/2012 - About 2 years ago
Identifiers
KY License # 251S00000X
KY Medicaid 1154568467
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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