Agape Remedy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AGAPE REMEDY LLC

Practice address

7710 Brooklyn Blvd Ste 209
Brooklyn Park, MN 55443-2966

Phone

(612) 702-5339

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ngozi Rose Ezike- FatormaNPI 1114572013

Title

Ceo/Owner

Phone

(612) 702-5339

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngozi Rose Ezike-Fatorma

  • Social Worker
  • Saint Paul, MN
  • NPI 1114572013
  NPD Authorized official
• Cajetan Chukwuma Egbujor, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1588714281
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1699480996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD STE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432966",
            "telephone_number": "612-702-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD STE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432966",
            "telephone_number": "612-702-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE REMEDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "EZIKE- FATORMA",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-702-5339"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Agape Counseling Services
• Agapi Health Services LLC
• Agility Advantage Home Healthcare LLC
• Justine Ahmann, COTA/L
• Faduma Abdi Ahmed
• Halima Suleiman Ahmed

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.