AGAPE ASSISTED LLIVING, INC. NPI 1003045303

Assisted Living Facility in West Columbia, SC

NPI 1003045303 Organization Assisted Living Facility

About AGAPE ASSISTED LLIVING, INC.

Agape Assisted Lliving, Inc. is a provider established in West Columbia, South Carolina specializing in assisted living facility. The NPI number of Agape Assisted Lliving, Inc. is 1003045303 and was assigned on July 2009. The practitioner's primary taxonomy code is 310400000X with license number CRC-1067 (SC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Marilyn Sippel (Administrator)

NPI

1003045303

Provider NameAGAPE ASSISTED LLIVING, INC.
Provider Location Address2705 LEAPHART RD WEST COLUMBIA, SC 29169
Provider Mailing Address2705 LEAPHART RD WEST COLUMBIA, SC 29169
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-08-2009
Last Update Date07-08-2009


Primary Taxonomy

Taxonomy Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
License No.CRC-1067
License StateSC
Taxonomy DescriptionA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Business Address

AGAPE ASSISTED LLIVING, INC.
2705 LEAPHART RD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 939-3000

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Mailing Address

AGAPE ASSISTED LLIVING, INC.
2705 LEAPHART RD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 939-3000



Authorized Official

Authorized Official NameMRS. MARILYN SIPPEL
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(803) 939-3000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
CRC-1067MEDICAID (05)SC

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356438907MRS. ANGIE LYNN WINTERSTEIN PT
Individual
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1669549291MRS. ANN KENICK CARLSON PT
Individual
Physical Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1417024167MISS KELI LYNN MCHALE OTR
Individual
Occupational Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1558537381AGAPE THERAPY INC
Organization
Clinic/Center (Rehabilitation)2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1871730515MR. MICHAEL EDWARD GOLOB OTR/L
Individual
Occupational Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1225275969MRS. MELODY T MATTOX PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1497122766 ASHLEY FORD PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1407222904FC MIDLANDS WEST COLUMBIA, LLC
Organization
Assisted Living Facility2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1447788211PRUITTHEALTH THERAPY SERVICES, INC.
Organization
Clinic/Center (Rehabilitation)2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1225081730AGAPE THERAPY, INC.
Organization
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 393-3000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.