Active NPI
Agape Family Chiropractic LLC
- Health Service Clinic/Center
- Munster, IN
National Provider Identifier
1073293114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- AGAPE FAMILY CHIROPRACTIC LLC
- Practice address
- 9250 Columbia Ave Ste 1E
Munster, IN 46321-3530 - Phone
- (708) 800-0261
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariah T Payne
- Title
- Owner
- Phone
- (708) 800-0261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
9250 Columbia Ave Ste 1E
Munster, IN 46321-3530
Mailing address
9250 Columbia Ave Ste 1E
Munster, IN 46321-3530
Phone (219) 803-0873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231006002469 | IN | Part B Supplier - Clinic/Group Practice | 7416302781 |
Receives reassigned benefits from 1 practitioner Practice locations: Munster, IN |
National Provider Directory
National Provider DirectoryLocations
9250 Columbia Ave
Ste 1E
Munster, IN 46321
Phone (219) 803-0873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1073293114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 1E",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "219-803-0873",
"fax_number": "219-803-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 1E",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "708-800-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "MARIAH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-800-0261"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
- Adult and Pediatric Eye Specialists Corp
- Advanced Care Medical Specialists, P.C.
- Advanced Health Services, Inc.
- Advanced Neuropsychiatric Services of Northwest Indiana, LLC
- Advanced Pain Treatment of Chicago SC
- Maria Teresa Aguirre, M.D.
- Ejaz Aftab Ahmad, DDS
- Imran Ahmad, MD
- Mai Ahmed, PHYSICAL THERAPIST
- Olfat Ahmed, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.