# L&H AGAPE FAMILY CARE HOMES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** L&H Agape Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235721937
- **Authorized official:** HAZEL FORMAN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (336) 860-4060

## Contact information

- **Practice address:** 1801 BRITTON ST, GREENSBORO, NC 27406-3132
- **Practice address phone:** (336) 275-4927
- **Practice address fax:** (336) 937-9157
- **Mailing address:** 1200 MOODY ST, GREENSBORO, NC 27401-4217
- **Mailing address phone:** (336) 860-4060
- **Mailing address fax:** (336) 937-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2021
- **Last updated:** 07/06/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | FCL041082 | — | NC |