Healthcare Provider Details

I. General information

NPI: 1851229207
Provider Name (Legal Business Name): AGAPE COMPASSIONATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 JOHNS LAKE RD APT 914
CLERMONT FL
34711-6664
US

IV. Provider business mailing address

1601 JOHNS LAKE RD APT 914
CLERMONT FL
34711-6664
US

V. Phone/Fax

Practice location:
  • Phone: 201-673-3322
  • Fax:
Mailing address:
  • Phone: 201-673-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA QUINTERO
Title or Position: AGENCY OWNER
Credential:
Phone: 201-673-3322