Agape Care Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

AGAPE CARE CLINIC

Practice address

304 S Jones Blvd # 3151
Las Vegas, NV 89107-2623

Phone

(702) 350-8759

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

Khadijah Muhammad

Title

Owner

Phone

(702) 350-8759

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1487311353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 3151",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "792-350-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 3151",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-350-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-350-8759"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Agapecareclinicllc@gmail.com",
            "affiliation": "N",
            "address_1": "304 S Jones Blvd # 3151",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891072623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agape Behavioral Health Center
• Agape BH&FS, LLC
• Agape BHFS
• Agape BHFS
• Agape BHFS LLC
• Agape Children'S Services
• Agape Children'S Services Inc
• Agape Childrens Services
• Agape Home Care LLC
• Agape Las Vegas Home Health, LLC

• All providers in Las Vegas, NV
• Community Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.