Agape Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AGAPE CARE

Practice address

4836 S US Highway 1
Fort Pierce, FL 34982-7013

Phone

(772) 577-6783

Fax

(772) 252-4082

NPI assigned

Jul 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Jada M MerrittNPI 1679085195

Title

Owner

Phone

(772) 501-2123

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jada Michelle Merritt

  • In Home Supportive Care Agency
  • Fort Pierce, FL
  • NPI 1679085195
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1083191514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827013",
            "telephone_number": "772-577-6783",
            "fax_number": "772-252-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827013",
            "telephone_number": "772-577-6783",
            "fax_number": "772-252-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JADA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-501-2123",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022884900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003014400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Darshan C. Aggarwal, M.D.
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• Carolyn Jean Aglira, RN
• Ags Dentists of Ft. Pierce (Midway Dental Center)

• In Home Supportive Care Agency in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.