MEDICARE: AGAPE RESIDENTIAL & TRANSITIONAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1396336996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE RESIDENTIAL & TRANSITIONAL SERVICES

Provider Business Mailing Address
First Line	:	11446 FREMANTLE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2634
Country	:	US
Telephone Number	:	513-293-5761
Fax Number	:

Provider Business Practice Location Address
First Line	:	11446 FREMANTLE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2634
Country	:	US
Telephone Number	:	513-293-5761
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEAH I GORDON
Credential	:
Telephone Number	:	513-293-5761

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	01/27/2021

Similar Medicare Providers

1558554014 — MRS. JANECIA LYNN KING NP
Practice Location Address:

2868 COMPTON RD STE 100
CINCINNATI, OH
45251-2634

Practice Phone: 513-712-8182
Practice Fax: 513-880-0606

1366631806 — MRS. LATRICE JOSEPHINE DAVIS RN
Practice Location Address:

5621 VIEW POINTE DR APT C
CINCINNATI, OH
45213-2634

Practice Phone: 513-546-2587
Practice Fax:

1891003737 — NEW CONCEPTS II LLC
Practice Location Address:

2868 COMPTON RD STE 100
CINCINNATI, OH
45251-2634

Practice Phone: 513-712-8182
Practice Fax: 513-880-0606

1073235735 — SONYA MARIE WEAVER
Practice Location Address:

4443 N BEND RD
CINCINNATI, OH
45211-2634

Practice Phone: 513-885-4161
Practice Fax:

1952086803 — JADE R MONTGOMERY
Practice Location Address:

2868 COMPTON RD
CINCINNATI, OH
45251-2634

Practice Phone: 513-712-8182
Practice Fax:

1720817612 — TYRA E KENNEDY RN
Practice Location Address:

2868 COMPTON RD STE 100
CINCINNATI, OH
45251-2634

Practice Phone: 513-712-8182
Practice Fax:

Directions to “AGAPE RESIDENTIAL & TRANSITIONAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.