AGAPE NURSING & REHABILITATION CENTER, LLC
NPI 1780099861
Skilled Nursing Facility in Johnson City, TN

Active since June 26, 2014
105 W MYRTLE AVE, JOHNSON CITY, TN 37604(423) 975-5455(423) 975-5405 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Agape Nursing & Rehabilitation Center, Llc NPPES

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

AGAPE NURSING & REHABILITATION CENTER, LLC (NPI 1780099861) is a healthcare organization registered as a skilled nursing facility in Johnson City, Tennessee and active in the NPI registry since June 2014. The organization lists Lisa M. Cawood-gray, Risk Consultant, as its authorized official.

NPPES Registry Identity

NPI1780099861
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAGAPE NURSING & REHABILITATION CENTER, LLC
Location Address105 W MYRTLE AVEJohnson City, TN 37604-5633
Mailing Address2020 Northpark Dr, Suite 2dJohnson City, TN 37604-3100 · (423) 975-5455 · Fax (423) 975-5405
Fax(423) 975-5405
Organization SubpartNo
Authorized OfficialLisa M. Cawood-grayRisk Consultant · (423) 773-4485
Enumeration DateJune 26, 2014
Last NPPES UpdateJanuary 28, 2015
NPI 1780099861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
105 W MYRTLE AVE, Johnson City, TN 37604

Other Identifiers 3

Medicaid0445019TN
Medicaid7440618TN
Medicare OSCAR/certification445162TN

CLIA Laboratory Certificates CMS CLIA

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 44D2080350

Agape Nursing & Rehabilitation Center, LLC · Johnson City, TN
Expired · Jul 2, 2026
CLIA Number44D2080350
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 3, 2024
Certificate Expiration DateJuly 2, 2026
Laboratory DirectorMarion Buddenborg
Laboratory Phone(423) 975-5455
Laboratory LocationAgape Nursing & Rehabilitation Center, LLC505 N Roan St, Johnson City, TN 37601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
105 W MYRTLE AVE
JOHNSON CITY, TN 37604

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 Nursing & Rehabilitation Center, LLC's NPI number?

The NPI number for Agape Nursing & Rehabilitation Center, LLC is 1780099861. It was assigned to this organization in the NPPES registry on June 26, 2014.

Where is Agape Nursing & Rehabilitation Center, LLC located?

Agape Nursing & Rehabilitation Center, LLC is located at 105 W Myrtle Ave, Johnson City, TN 37604. The listed phone number is (423) 975-5455.

What is Agape Nursing & Rehabilitation Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Agape Nursing & Rehabilitation Center, LLC was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.