NPIMap

Organization Active NPI

Agape Community Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Tampa, FL
National Provider Identifier
1891027751
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
692104396 Issued in FL
Legal business name
AGAPE COMMUNITY SERVICES INC.
Practice address
3802 Sugar Palm Dr
Suite E
Tampa, FL 33619-1312
Phone
(813) 623-2422
Fax
(813) 623-2419
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mrs. Janet Lynn Graddy
Title
President/Director
Phone
(813) 623-2422

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 692104396 FL Primary
Home Health Agency 251E00000X 692104300 FL
In Home Supportive Care Agency 253Z00000X 69214300 FL

Addresses

Primary practice location

3802 Sugar Palm Dr
Suite E
Tampa, FL 33619-1312

Mailing address

3802 Sugar Palm Dr
Suite E
Tampa, FL 33619-1312
Phone (813) 623-2422

Other identifiers 3

IdentifierTypeStateIssuer
692104396MedicaidFL
692104300MedicaidFL
230209OtherFLAHCA

Other names 1

  • Agape homeCare Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Advancement Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1891027751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SUGAR PALM DR",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191312",
            "telephone_number": "813-623-2422",
            "fax_number": "813-623-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 SUGAR PALM DR",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191312",
            "telephone_number": "813-623-2422",
            "fax_number": "813-623-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "813-623-2422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "692104396",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "692104300",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "69214300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692104396",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692104300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "230209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape homeCare Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.