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AGAPE DETOX CENTER LLC
NPI 1619642188
Substance Abuse Rehabilitation Facility in Port Saint Lucie, FL

Active since August 16, 2021CLIA 10D2250287 · Waiver
750 E PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34952(855) 948-2936 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2025, Aug 16, 2021 (2 updates tracked since 2021).

About Agape Detox Center Llc NPPES

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

AGAPE DETOX CENTER LLC (NPI 1619642188) is a healthcare organization registered as a substance abuse rehabilitation facility in Port Saint Lucie, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists George J Mavrookas, Manager, as its authorized official.

NPPES Registry Identity

NPI1619642188
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAGAPE DETOX CENTER LLC
Location Address750 E PRIMA VISTA BLVDPort Saint Lucie, FL 34952-2259
Mailing Address1164 E Oakland Park Blvd, Ste 101Oakland Park, FL 33334-2709 · (754) 200-4373
Phone(855) 948-2936
Organization SubpartNo
Authorized OfficialGeorge J MavrookasManager · (754) 200-4373
Enumeration DateAugust 16, 2021
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1619642188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
750 E PRIMA VISTA BLVD, Port Saint Lucie, FL 34952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 10D2250287

Agape Detox Center LLC · Port Saint Lucie, FL
Active · expires Jan 25, 2028
CLIA Number10D2250287
Laboratory TypeResidential Substance Abu
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorCharles Smith
Laboratory Phone(973) 687-0616
Laboratory LocationAgape Detox Center LLC750 E Prima Vista Blvd, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEP 1 , INC.
Substance Abuse Rehabilitation Facility
750 E PRIMA VISTA BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (305) 710-1277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Detox Center LLC's NPI number?

The NPI number for Agape Detox Center LLC is 1619642188. It was assigned to this organization in the NPPES registry on August 16, 2021.

Where is Agape Detox Center LLC located?

Agape Detox Center LLC is located at 750 E Prima Vista Blvd, Port Saint Lucie, FL 34952. The listed phone number is (855) 948-2936.

What is Agape Detox Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Agape Detox Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2250287) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agape Detox Center LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Agape Detox Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agape Detox Center LLC was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.