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AGAPE NETWORK INC. NPI 1326191156


NPI Information

NPI: 1326191156
Provider Name: AGAPE NETWORK, INC.

Former Legal Business Name: SOUTH FLORIDA JAIL MINISTRIES, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
22790 S.W. 112 AVENUE
MIAMI, FL
ZIP 33170
Phone: (305) 235-2616
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AGAPE NETWORK, INC. is a substance abuse rehabilitation facility in Miami, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AGAPE NETWORK, INC. NPI is 1326191156. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is South Florida Jail Ministries, Inc..

The provider's business location address is:

22790 S.W. 112 AVENUE
MIAMI, FL
ZIP 33170-602
Phone: (305) 235-2616
Fax: (305) 235-6178

The provider's authorized official is Terry S. Lull .
The authorized official title is Program Coordinator and has the following contact phone number (561) 972-7771.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 10/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor1113AD123002FLORIDANo
2324500000XSubstance Abuse Rehabilitation Facility1113AD123001FLORIDANo
3324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1306725OTHERFLORIDAWELLCARE
2000199000MEDICAIDFLORIDA
3360010600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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