Agape Network, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Miami, FL
NPI 1235736760 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1235736760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- AGAPE NETWORK, INC.
- Practice address
- 11000 SW 220TH St
Miami, FL 33170-3016 - Phone
- (305) 235-2616
- NPI assigned
- Oct 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Maria Gabriela Vargas
- Title
- Finance Director
- Phone
- (305) 235-2616
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 30
-
Tianny Cendan, LMHC, RMFTI
-
Roxana P. Cevallos, LCSW
-
Linda Marie Collado, M.D.
-
Melanie Collazo, MS, LMHC
-
Adelaida D Cueto, MD
-
Georgianna Dacosta, SOCIAL WORKER
-
Melissa Garcia-Martinez, LCSW
-
Tiffany Yolanda Hodgson, LCSW
-
Eulalia Maria Jimenez, LMHC
-
Bonnie Kennedy, M.S.
-
Caitlin Meyer, MD
-
Venus M. Miller, DNP,APRN,FNP,PMHP-BC
-
Juan Diego Oms, M.D.
-
Nikelson Pierre, PMHNP
-
Maria Rodil, M.D.
-
Roxana Rodriguez, LCSW
-
Jesus Tarajano, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100722000425 | FL | Part B Supplier - Clinic/Group Practice | 5799817094 |
Receives reassigned benefits from 27 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami Gardens, FL; Miami, FL |
National Provider Directory
- Tax ID family
- Agape Network Inc
Locations
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
11000 SW 220th St
Miami, FL 33170
Phone (305) 235-2616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
11000 SW 220TH St
Miami, FL 33170-3016
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306725 | Other | FL | WELLCARE |
| 000199000 | Medicaid | FL | |
| 360010600 | Medicaid | FL |
Other providers in Miami, FL
- Agape 4 Orphans International, Inc.
- Agape Coordinating & Consulting, Inc.
- Agape Group Home and Rehab
- Agape Health Provider LLC
- Agape Home Care Assistance LLC
- Agape Network, Inc.
- Kunal Nath Agarwal
- Saranga Agarwal
- Agbe Solutions Inc
- Shanon Deidre Agbeve
All providers in Miami, FL · Substance Abuse Rehabilitation Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.