Agape Storge Healthcare Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

142980 Issued in PA

Legal business name

AGAPE STORGE HEALTHCARE SERVICES, INC

Practice address

8410 Bustleton Ave Ste 2
Philadelphia, PA 19152-1924

Phone

(267) 291-4513

Fax

(215) 701-5888

NPI assigned

May 14, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Tahira Dockery, CRNP, LCSW

Title

Ceo

Phone

(267) 291-4513

Specialties & licenses 1

Addresses

Other names 1

• Serenity Safe Haven Outpatient Clinic Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Serenity Safe Haven Outpatient Clinic

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1942605415
  NPPES parent name

Practitioners 1

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

• Tanya Bland

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1477751279
  NPD

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1326484684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD YORK RD",
            "address_2": "SUITE 1-526",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "267-808-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 BUSTLETON AVE STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521924",
            "telephone_number": "267-291-4513",
            "fax_number": "215-701-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5521 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191435334",
            "country_code": "US",
            "telephone_number": "267-291-4513",
            "fax_number": "215-701-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE STORGE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "TAHIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-291-4513",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "142980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Safe Haven Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zainab Afzal, DMD
• Ag Home Care Services
• Perez Agaba, MD
• Agape African Senior Services Center, Inc.
• Agape Blessings Home Care LLC
• Aarti Agarwal, MD
• Alisha Agarwal, MD
• Anish K Agarwal, MD
• Kenya Agarwal
• Kripa Agarwal

• All providers in Philadelphia, PA
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.