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Contact Information

AGAPE NURSING & REHABILITATION CENTER, LLC
105 W MYRTLE AVE
JOHNSON CITY, TN37604-5633
 Phone: 423-975-5455
 Fax: 423-975-5405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AGAPE NURSING & REHABILITATION CENTER, LLC

NPI # 1780099861
LBN Legal business name AGAPE NURSING & REHABILITATION CENTER, LLC
Authorized official LISA CAWOOD-GRAY - (RISK CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2014
Last updated 01/28/2015 - About 11 years ago
Identifiers
TN Medicaid 0445019
TN Medicaid 7440618
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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