AGAPE RESIDENTIAL CARE LLC
NPI 1124893391
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME

Active since November 17, 2023
124 WELLESLEY ESTS, PORTLAND, ME 04103(207) 409-4723 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agape Residential Care Llc NPPES

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

AGAPE RESIDENTIAL CARE LLC (NPI 1124893391) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, Maine and active in the NPI registry since November 2023. The organization lists Edison Ntiyomba, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124893391
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameAGAPE RESIDENTIAL CARE LLC
Location Address124 WELLESLEY ESTSPortland, ME 04103-1185
Mailing Address124 Wellesley EstsPortland, ME 04103-1185 · (207) 409-4723
Organization SubpartNo
Authorized OfficialEdison NtiyombaCeo · (207) 409-4723
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
NPI 1124893391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
124 WELLESLEY ESTS, Portland, ME 04103

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 Agape Residential Care LLC's NPI number?

The NPI number for Agape Residential Care LLC is 1124893391. It was assigned to this organization in the NPPES registry on November 17, 2023.

Where is Agape Residential Care LLC located?

Agape Residential Care LLC is located at 124 Wellesley Ests, Portland, ME 04103. The listed phone number is (207) 409-4723.

What is Agape Residential Care LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Agape Residential Care LLC was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.