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AGAPE HEALTH & WELLNESS CENTER INC.
NPI 1386223469
Community/Behavioral Health in Jacksonville, FL

Active since April 06, 2021CLIA 10D2283912 · Waiver
6138 KENNERLY RD STE AND150, JACKSONVILLE, FL 32216(386) 283-2010 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Agape Health & Wellness Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE HEALTH & WELLNESS CENTER INC. (NPI 1386223469) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 13, 2027, maintains a secondary practice location in Jacksonville, and lists Tiffany Hart, Credentialing/billing Manager, as its authorized official.

NPPES Registry Identity

NPI1386223469
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAGAPE HEALTH & WELLNESS CENTER INC.
Location Address6138 KENNERLY RD STE AND150Jacksonville, FL 32216-4393
Mailing Address11555 Central Pkwy Ste 601Jacksonville, FL 32224-2698 · (386) 283-2010
Phone(386) 283-2010
Organization SubpartNo
Authorized OfficialTiffany HartCredentialing/billing Manager · (904) 300-7494
Enumeration DateApril 6, 2021
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1386223469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
6138 KENNERLY RD STE AND150, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 111555 Central Pkwy Ste 601Jacksonville, FL 32224-2698 · Phone (386) 283-2010

Other Identifiers 1

Medicaid2575228FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2283912

Agape Health & Wellness Center, Inc · Jacksonville, FL
Active · expires Jun 13, 2027
CLIA Number10D2283912
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorPablo Pella
Laboratory Phone(904) 619-6715
Laboratory LocationAgape Health & Wellness Center, Inc11555 Central Pkwy - Ste 601, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is AGAPE HEALTH & WELLNESS CENTER INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1386223469, enumerated as an "organization" on April 06, 2021.

Where is the provider located?

The provider is located at 6138 KENNERLY RD STE AND150 JACKSONVILLE, FL 32216 and the phone number is (386) 283-2010.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does AGAPE HEALTH & WELLNESS CENTER INC. accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.