Agape Network, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Miami Gardens, FL
NPI 1982201133 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1982201133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- AGAPE NETWORK, INC.
- Practice address
- 17801 NW 2ND Ave Ste 212
Miami Gardens, FL 33169-5029 - Phone
- (305) 235-2616
- Fax
- (305) 235-6178
- NPI assigned
- Oct 1, 2020
- Organization subpart
- No
Authorized official
- Name
- Maria Gabriela Vargas
- Title
- Finance Director
- Phone
- (305) 235-2616
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2284723 | Agape Network Inc | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
- Tax ID family
- Agape Network Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
17801 NW 2ND Ave Ste 212
Miami Gardens, FL 33169-5029
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Other practice location 1
11000 SW 220th St
Miami, FL 33170-3016
Phone (305) 235-2616
Other practice location 2
22790 SW 112th Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360010600 | Medicaid | FL | |
| 000199000 | Medicaid | FL | |
| 306725 | Other | FL | WELLCARE |
Other providers in Miami Gardens, FL
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- Affinity Home Healthcare, LLC
- Ageless Care, LLC
- Giselle Aguila Acosta
- Lendy Aguila
- Susette Aguila
- Lien Aguilar Alfonso
All providers in Miami Gardens, FL · Substance Abuse Rehabilitation Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.