Active NPIOrganization

Agape Storge Healthcare Services, INC

Community/Behavioral Health in Philadelphia, Pennsylvania

NPI Number1326484684
Practice location
8410 Bustleton Ave Ste 2, Philadelphia, PA 19152-1924
Fax
215-701-5888
Last updated
March 17, 2018

Agape Storge Healthcare Services, INC is a healthcare organization based in Philadelphia, PA. Agape Storge Healthcare Services, INC practices in Philadelphia, PA. The NPI Number for Agape Storge Healthcare Services, INC is 1326484684 and holds a License No. 142980 (PA). The current practice location address for Agape Storge Healthcare Services, INC is 8410 Bustleton Ave Ste 2, Philadelphia, PA 19152-1924 and can be reached out via phone at 267-291-4513 and via fax at 215-701-5888.

Provider Profile Details

NPI Number
1326484684
Provider Name
Agape Storge Healthcare Services, INC
Provider Entity Type
Organization
Address
8410 Bustleton Ave Ste 2, Philadelphia, PA 19152-1924
Phone Number
267-291-4513
Fax Number
215-701-5888
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Tahira Dockery, CRNP, LCSW · Ceo · 267-291-4513
Other Names
Serenity Safe Haven Outpatient Clinic (Doing Business As)
Provider Enumeration Date
May 14, 2013
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
8410 Bustleton Ave Ste 2
Philadelphia, PA 19152-1924
Zip
19152-1924
Phone Number
267-291-4513
Fax Number
215-701-5888
Philadelphia, PA 19152Get directions →

Provider Business Mailing Address Details

Address
93 Old York RD
Suite 1-526
Jenkintown, PA 19046-3925
City
Jenkintown
State
PA
Zip
19046-3925
Phone Number
267-808-8810

License Information

License Number
142980
License State
PA
Taxonomy
Community/Behavioral Health · 251S00000X · 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 Storge Healthcare Services, INC?

The NPI number of Agape Storge Healthcare Services, INC is 1326484684. It was assigned on May 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Agape Storge Healthcare Services, INC?

Agape Storge Healthcare Services, INC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in PA under license number 142980.

Where does Agape Storge Healthcare Services, INC practice?

The practice location is 8410 Bustleton Ave Ste 2, Philadelphia, PA 19152-1924. The office can be reached at 267-291-4513 (phone) or 215-701-5888 (fax).

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 1326484684 directly on the NPPES registry website.

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