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AGAPECARE SERVICES LLC
NPI 1043136716
Assisted Living Facility in Brooklyn Center, MN

Active since June 26, 2026CLIA Certified · 2 labs
6112 LEE AVE N, BROOKLYN CENTER, MN 55429(610) 202-6770 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Agapecare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPECARE SERVICES LLC (NPI 1043136716) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since June 2026. The organization holds 2 active CLIA laboratory certificates and lists Penninah Obwaya, Rn/bsn Lald, as its authorized official.

NPPES Registry Identity

NPI1043136716
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAGAPECARE SERVICES LLC
Location Address6112 LEE AVE NBrooklyn Center, MN 55429-2476
Mailing Address10913 131st Ave NChamplin, MN 55316-1143 · (610) 202-6770
Phone(610) 202-6770
Organization SubpartNo
Authorized OfficialPenninah ObwayaRn/bsn Lald · (610) 202-6770
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1043136716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A 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.
6112 LEE AVE N, Brooklyn Center, MN 55429
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2293543

Agapecare Services LLC · Brooklyn Center, MN
Active · expires Nov 8, 2027
CLIA Number24D2293543
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorObwaya Penninah
Laboratory Phone(610) 220-6700
Laboratory LocationAgapecare Services LLC3818 61st Ave North, Brooklyn Center, MN 55429
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2333046

Agapecare Services LLC · Brooklyn Center, MN
Active · expires Oct 28, 2027
CLIA Number24D2333046
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorPenninah Obwaya
Laboratory Phone(610) 202-6700
Laboratory LocationAgapecare Services LLC6106 Lee Avenue North, Brooklyn Center, MN 55429
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agapecare Services LLC's NPI number?

The NPI number for Agapecare Services LLC is 1043136716. It was assigned to this organization in the NPPES registry on June 26, 2026.

Where is Agapecare Services LLC located?

Agapecare Services LLC is located at 6112 Lee Ave N, Brooklyn Center, MN 55429. The listed phone number is (610) 202-6770.

What is Agapecare Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Agapecare Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Agapecare Services LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.