MEDICARE: AGAPE HEALTH AND REHABILITATION CENTER, LLC

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	313M00000X	Nursing Facility/Intermediate Care Facility
2	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1598912537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HEALTH AND REHABILITATION CENTER, LLC

Provider Business Mailing Address
First Line	:	2020 NORTHPARK
Second Line	:	SUITE 2F
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-3127
Country	:	US
Telephone Number	:	423-975-5455
Fax Number	:	423-975-5405

Provider Business Practice Location Address
First Line	:	2020 NORTHPARK
Second Line	:	SUITE 2F
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-3127
Country	:	US
Telephone Number	:	423-975-5455
Fax Number	:	423-975-5405

Authorized Official
Title or Position	:	CHIEF MANAGER
Name	:	MR. JIMMY (J.R.) RANDAL LEWIS
Credential	:
Telephone Number	:	423-975-5455

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	08/21/2008

Similar Medicare Providers

1538808910 — REBECCA L SHERFEY LPC-MHSP
Practice Location Address:

2020 NORTHPARK DR STE 1G
JOHNSON CITY, TN
37604-3127

Practice Phone: 423-759-7091
Practice Fax: 423-232-2714

1487669123 — CHEROKEE GENERAL DENTISTRY
Practice Location Address:

105 N JOHNSON ST
GAFFNEY, SC
29340-3127

Practice Phone: 864-489-0375
Practice Fax: 864-489-4811

1710992474 — DR. JEFFREY W. CLELAND D.M.D.
Practice Location Address:

105 N JOHNSON ST
GAFFNEY, SC
29340-3127

Practice Phone: 864-489-0375
Practice Fax: 864-489-4811

1821164203 — DR. TYLER JOHNSON D.C.
Practice Location Address:

3127 BRADY ST , JOHNSON CHIROPRACTIC & SPORTS INJURY STE #4
DAVENPORT, IA
52803-1233

Practice Phone: 563-323-2385
Practice Fax: 563-323-3285

1568623320 — WILLIAM F ADAIR DMD
Practice Location Address:

105 N JOHNSON ST
GAFFNEY, SC
29340-3127

Practice Phone: 864-489-0375
Practice Fax: 864-489-4811

1033425665 — DR. ADDISON WARDLAW HAMRICK D.M.D.
Practice Location Address:

105 N JOHNSON ST
GAFFNEY, SC
29340-3127

Practice Phone: 864-489-0375
Practice Fax:

Directions to “AGAPE HEALTH AND REHABILITATION CENTER, LLC ” 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.