Organization Active NPI

Agape Midwifery Services Inc

  • Birthing Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1922425685
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
AGAPE MIDWIFERY SERVICES INC
Practice address
1346 Mason Ave
Daytona Beach, FL 32117-5508
Phone
(386) 258-5400
Fax
(386) 258-5005
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Karen Kennedy, LICENSED MIDWIFE
Title
Owner
Phone
(386) 258-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

1346 Mason Ave
Daytona Beach, FL 32117-5508

Mailing address

1346 Mason Ave
Daytona Beach, FL 32117-5508
Phone (386) 258-5400

Other identifiers 1

IdentifierTypeStateIssuer
340123500MedicaidFL

Other names 1

  • Agape Birth and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1922425685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175508",
            "telephone_number": "386-258-5400",
            "fax_number": "386-258-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175508",
            "telephone_number": "386-258-5400",
            "fax_number": "386-258-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MIDWIFERY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-258-5400",
        "authorized_official_credential": "LICENSED MIDWIFE"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340123500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Birth and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.