Active NPI
Agape and Joy LLC
- Developmental Disabilities Clinic/Center
- Palm Bay, FL
National Provider Identifier
1396360673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- AGAPE AND JOY LLC
- Practice address
- 9400 Pinewood Dr NE Apt 110
Palm Bay, FL 32905-2317 - Phone
- (321) 327-3495
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikia Sherrell Boyd
- Title
- Owner
- Phone
- (321) 327-3495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
9400 Pinewood Dr NE Apt 110
Palm Bay, FL 32905-2317
Mailing address
PO Box 60404
Palm Bay, FL 32906-0404
Phone (321) 405-9566
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1396360673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60404",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329060404",
"telephone_number": "321-405-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 PINEWOOD DR NE APT 110",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052317",
"telephone_number": "321-327-3495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE AND JOY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "NIKIA",
"authorized_official_middle_name": "SHERRELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-327-3495"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.