Active NPIOrganization

Agape Family Medical Center LLC

Nurse Practitioner, Family in Waterbury, Connecticut

NPI Number1316559248
Practice location
1078 W Main St Ste 3, Waterbury, CT 06708-2651
Fax
—
Last updated
August 21, 2020

Agape Family Medical Center LLC is a healthcare organization based in Waterbury, CT. Agape Family Medical Center LLC practices in Waterbury, CT. The NPI Number for Agape Family Medical Center LLC is 1316559248. The current practice location address for Agape Family Medical Center LLC is 1078 W Main St Ste 3, Waterbury, CT 06708-2651 and can be reached out via phone at 860-797-0572.

Provider Profile Details

NPI Number
1316559248
Provider Name
Agape Family Medical Center LLC
Provider Entity Type
Organization
Address
1078 W Main St Ste 3, Waterbury, CT 06708-2651
Phone Number
860-797-0572
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Felistas Mazhandu, APRN · Owner · 860-797-0572
Provider Enumeration Date
August 21, 2020
Last Update Date
August 21, 2020
Certification Date
August 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1078 W Main St Ste 3
Waterbury, CT 06708-2651
Zip
06708-2651
Phone Number
860-797-0572
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
4 Woodland Trl
Ellington, CT 06029-3890
City
Ellington
State
CT
Zip
06029-3890
Phone Number
860-797-0572

License Information

Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Agape Family Medical Center LLC?

The NPI number of Agape Family Medical Center LLC is 1316559248. It was assigned on August 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Agape Family Medical Center LLC?

Agape Family Medical Center LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Agape Family Medical Center LLC practice?

The practice location is 1078 W Main St Ste 3, Waterbury, CT 06708-2651. The office can be reached at 860-797-0572 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316559248 directly on the NPPES registry website.

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