Healthcare Provider Details

I. General information

NPI: 1013500974
Provider Name (Legal Business Name): AGAPES WAY 3A INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 03/20/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 SPARKLING WATER CIR
ORLANDO FL
32818
US

IV. Provider business mailing address

6388 SILVER STAR RD STE 2D
ORLANDO FL
32818-3235
US

V. Phone/Fax

Practice location:
  • Phone: 727-483-3066
  • Fax: 407-205-0052
Mailing address:
  • Phone: 727-483-3066
  • Fax: 407-205-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHIRIGA OFORI
Title or Position: CEO
Credential:
Phone: 727-483-3066