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NPI Code Detail

MEDICARE: AGAPE COMPASSIONATE CARE

MEDICARE: AGAPE COMPASSIONATE CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1851229207
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE COMPASSIONATE CARE
Provider Business Mailing Address
First Line : 1601 JOHNS LAKE RD APT 914
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6664
Country : US
Telephone Number : 201-673-3322
Fax Number :
Provider Business Practice Location Address
First Line : 1601 JOHNS LAKE RD APT 914
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6664
Country : US
Telephone Number : 201-673-3322
Fax Number :
Authorized Official
Title or Position : AGENCY OWNER
Name : ADRIANA QUINTERO
Credential :
Telephone Number : 201-673-3322
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “AGAPE COMPASSIONATE CARE ” Practice Location

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