NPIMap

Organization Active NPI

Agape Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
National Provider Identifier
1386326122
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AGAPE COMMUNITY HEALTH CENTERS, INC
Practice address
1680 Dunn Ave Ste 38
Jacksonville, FL 32218-4744
Phone
(904) 769-4904
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AGAPE COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
James Hayden
Title
Credentialing Consultant
Phone
(937) 825-8631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1680 Dunn Ave Ste 38
Jacksonville, FL 32218-4744

Mailing address

120 King St
Jacksonville, FL 32204-2410

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health Mobile Unit13 organizations share this tax ID, including this one
Part of
Agape Community Health Mobile Unit

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1680 Dunn Ave
Ste 38
Jacksonville, FL 32218
Phone (904) 760-4905

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1386326122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 38",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184744",
            "telephone_number": "904-769-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COMMUNITY HEALTH CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "937-825-8631"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2023; 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.