NPIMap

Organization Active NPI

Agape Community Health Center, Inc

Doing business as Agape CHC - Long Branch Elementary School

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
National Provider Identifier
1770414682
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AGAPE COMMUNITY HEALTH CENTER, INC
Doing business as
Agape CHC - Long Branch Elementary School
Practice address
3723 Franklin St
Jacksonville, FL 32206-1535
Phone
(904) 760-4904
NPI assigned
May 28, 2026
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AGAPE COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Mia L. Jones
Title
Ceo
Phone
(904) 760-4904

Specialties & licenses 1

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

Addresses

Primary practice location

3723 Franklin St
Jacksonville, FL 32206-1535

Mailing address

120 King St
Jacksonville, FL 32204-2410
Phone (904) 760-4904

Other names 1

  • Agape CHC - Long Branch Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Community HLTH Center13 organizations share this tax ID, including this one
Part of
Agape Community HLTH Center

Other organizations with this tax ID 12

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

Locations

3723 Franklin St
Jacksonville, FL 32206

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1770414682",
    "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",
            "telephone_number": "904-760-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 FRANKLIN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322061535",
            "telephone_number": "904-760-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-760-4904"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape CHC - Long Branch Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2026; 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.