Active NPI
Agape Network, Inc.
- Substance Abuse Rehabilitation Facility
- Miami Gardens, FL
National Provider Identifier
1982201133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
- Last updated
- Oct 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Gabriela Vargas
- Title
- Finance Director
- Phone
- (305) 235-2616
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2284723 | Agape Network Inc | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Agape Network Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Miami, FL
- NPI 1235736760
-
- Substance Abuse Rehabilitation Facility
- Miami, FL
- NPI 1326191156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601942400000",
"number": "1982201133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17801 NW 2ND AVE STE 212",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695029",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [
{
"address_1": "11000 SW 220th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331703016",
"country_code": "US",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22790 SW 112th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331707602",
"country_code": "US",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AGAPE NETWORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A",
"authorized_official_last_name": "VARGAS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "GABRIELA",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "305-235-2616"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.