Agnes Support Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AGNES SUPPORT SERVICES INC

Practice address

5100 Buckeystown Pike Ste 250-212
Frederick, MD 21704-8336

Phone

(667) 273-0675

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 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

Oluwaseun Oyinkolade

Title

Director

Phone

(667) 273-0675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1841079274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250-212",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048336",
            "telephone_number": "667-273-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250-212",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048336",
            "telephone_number": "667-273-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNES SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "OYINKOLADE",
        "authorized_official_first_name": "OLUWASEUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "667-273-0675"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collina Afriyie, PAC
• Ali J. Afrookteh, MD, MACP
• Rizwana Afzal, M.D.
• Lev Agarunov, M.D.
• Marie N. Agbortoko
• Agpcounseling, LLC
• Zachery Aguiar, PT, DPT
• Shelby Aguilar
• Festus Addo Agyekum, PA-C
• Richard Agyekum

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Frederick, MD
• Providers in Frederick, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.