Healthcare Provider Details

I. General information

NPI: 1467375683
Provider Name (Legal Business Name): AGAPE SERVICE CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 QUARI ST
AURORA CO
80011-6217
US

IV. Provider business mailing address

840 QUARI ST
AURORA CO
80011-6217
US

V. Phone/Fax

Practice location:
  • Phone: 720-725-5428
  • Fax:
Mailing address:
  • Phone: 720-725-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOHN-MARK ATSU GLADSTONE SR.
Title or Position: DIRECTOR & OWNER
Credential:
Phone: 720-422-3817