Organization Active NPI

Agape Homecare Plus Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1154481356
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
688075496 Issued in FL
Legal business name
AGAPE HOMECARE PLUS INC.
Practice address
2142 Figaro LN
Jacksonville, FL 32210-2926
Phone
(904) 502-2666
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Maerine Rayner
Title
Agency Director
Phone
(904) 502-2666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 688075496 FL Primary
Home Health Agency 251E00000X 688075401 FL

Addresses

Primary practice location

2142 Figaro LN
Jacksonville, FL 32210-2926

Mailing address

2142 Figaro LN
Jacksonville, FL 32210-2926

Other identifiers 2

IdentifierTypeStateIssuer
688075401MedicaidFL
688075496MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1154481356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 FIGARO LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 FIGARO LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102926",
            "telephone_number": "904-502-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOMECARE PLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "RAYNER",
        "authorized_official_first_name": "MAERINE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "904-502-2666"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "688075496",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "688075401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688075401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688075496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.