Organization
AGAPE FAMILY CARE HOMES, LLC.
Active
Other names
agape healthcare services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZUMA ASI RN (ADMINISTRATOR)
(919) 605-6177
Entity
Organization
Contact information
Practice address
7208 VIXEN CT, RALEIGH, NC 27616-5284
(919) 872-5999
(919) 876-9252
Mailing address
PO BOX 14963, 7208 VIXEN CT., RALEIGH, NC 27620-4963
(919) 872-5999
(919) 876-9252
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
HC2274
NC
3104A0625X
Assisted Living Facility (Mental Illness)
MHL-092-520
NC
3104A0625X
Assisted Living Facility (Mental Illness)
MHL-092-539
NC
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-092-622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804684
—
NC
05
—
7804802
—
NC
05
—
7805229
—
NC
Enumeration date
12/01/2006
Last updated
09/11/2025
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