AGAPE FAMILY HOME, LLC — NPI 1528506086 (Licensed & Credentialed Licensed Practical Nurse in UPPER CHICHESTER, PA)

CMS-1500 Box 24J / 33a • NPI

1528506086

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

2604 JOHNSON RD, UPPER CHICHESTER, PA, 19061-3523

✓ 9-Digit EDI 837 ZIP+4 (19061-3523)

Practice Phone & Referral Fax

(267) 408-2202

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528506086 (AGAPE FAMILY HOME, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528506086` (NPI-2 Organization / Facility)
Provider / Legal Name	AGAPE FAMILY HOME, LLC
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2604 JOHNSON RD, UPPER CHICHESTER, PA, 19061-3523
Practice Telephone / Fax	Tel: (267) 408-2202
Administrative Mailing Address	2604 JOHNSON RD, UPPER CHICHESTER, PA, 19061-3523
Enumeration & Last Sync	Enumerated: 2017-02-05 \| CMS Record Updated: 2017-03-14
Authorized Official	RACHEAL BUNDOR (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2604 JOHNSON RD, UPPER CHICHESTER, PA, 19061-3523

🗺️ Open in Google Maps 🏥 More Providers in UPPER CHICHESTER

🔒 Are you AGAPE FAMILY HOME, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGAPE FAMILY HOME, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: PA \| License: `103027299` \| Primary: Secondary
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: PA \| License: `103027299` \| Primary: Secondary
`163WC0400X` — Registered Nurse, Case Management Plain English: Licensed & Credentialed Registered Nurse, Case Management	State: PA \| License: `103027299` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: PA \| License: `103027299` \| Primary: Secondary
`163WG0100X` — Registered Nurse, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: PA \| License: `103027299` \| Primary: Secondary
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: PA \| License: `103027299` \| Primary: Secondary
`163WG0600X` — Registered Nurse, Gerontology Plain English: Licensed & Credentialed Registered Nurse, Gerontology	State: PA \| License: `103027299` \| Primary: Secondary
`163WI0600X` — Registered Nurse, Infection Control Plain English: Licensed & Credentialed Registered Nurse, Infection Control	State: PA \| License: `103027299` \| Primary: Secondary
`163WI0500X` — Registered Nurse, Infusion Therapy Plain English: Licensed & Credentialed Registered Nurse, Infusion Therapy	State: PA \| License: `103027299` \| Primary: Secondary
`163WM0705X` — Registered Nurse, Medical-Surgical Plain English: Licensed & Credentialed Registered Nurse, Medical-Surgical	State: PA \| License: `103027299` \| Primary: Secondary
`163WX1500X` — Registered Nurse, Ostomy Care Plain English: Licensed & Credentialed Registered Nurse, Ostomy Care	State: PA \| License: `103027299` \| Primary: Secondary
`163WP0000X` — Registered Nurse, Pain Management Plain English: Licensed & Credentialed Registered Nurse, Pain Management	State: PA \| License: `103027299` \| Primary: Secondary
`163WR0400X` — Registered Nurse, Rehabilitation Plain English: Licensed & Credentialed Registered Nurse, Rehabilitation	State: PA \| License: `103027299` \| Primary: Secondary
`163WW0000X` — Registered Nurse, Wound Care Plain English: Licensed & Credentialed Registered Nurse, Wound Care	State: PA \| License: `103027299` \| Primary: Secondary
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: PA \| License: `103027299` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

AGAPE FAMILY HOME, LLC (NPI #1528506086)