OrganizationActive
Agape Nursing & Rehabilitation Center, LLC
NPI 1780099861 · Skilled Nursing Facility · Johnson City, TN
Provider details
- NPI number
- 1780099861
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Lisa Cawood-Gray, Risk Consultant
Practice location
105 W Myrtle Ave
Johnson City, TN 37604-5633
Phone: (423) 975-5455
Fax: (423) 975-5405
Mailing address
2020 Northpark Dr
Johnson City, TN 37604-3100
Registry dates
- Enumerated
- 2014-06-26
- Last updated
- 2015-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.