AGENCY FOR EMPOWERMENT & SUPPORT, LLC (NPI# 1003456377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003456377 |
| Entity Type | Organization |
| Organization Name | AGENCY FOR EMPOWERMENT & SUPPORT, LLC |
| Practice Address |
507 Lancer Oak Dr Apopka FL 32712-2762 |
| Mailing Address |
581 N Park Ave Unit 2791 Apopka FL 32704-8720 |
| Practice Telephone | 4078148767 |
| Practice Fax Number | 4078148767 |
| Mailing Telephone | 2402778688 |
| Mailing Fax Number | 4078148767 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | STEPHANIE GEORGE (FOUNDER CEO) |
| Authorized Official Telephone | 2402778688 |
| Authorized Official Credential | BACHELOR'S DEGRE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AFES | Doing Business As Name - Organization |
| Street Address |
507 LANCER OAK DR |
| City | APOPKA |
| State | FL |
| Zip Code | 32712-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537160 | Stephanie George | Social Worker | 507 Lancer Oak Dr, Apopka, FL 32712-2762 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1871158741 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1520 W. Orange Blossom Trail, Apopka, FL 32712 | 2019-05-07 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1497290811 | Yasmine Mollings | Behavior Technician | 1741 Parkglen Circle, Apopka, FL 32712 | 2016-12-20 |
| 1316391170 | Infinity Dental LLC | Dentist | 1450 N. Rock Springs Rd, Apopka, FL 32712 | 2016-04-19 |
| 1518368323 | Eleanor Mccall Hawthorne | Counselor | 1928 Bluff Oak St., Apopka, FL 32712 | 2014-09-11 |
| 1497092613 | Anayanzi Annette Simpson | Social Worker | 523 Wekiva Commons Circle #4, Apopka, FL 32712 | 2013-01-08 |
| 1275884553 | Marcia Annette Bryan | Nursing Home Administrator | 957 Rock Creek Street, Apopka, FL 32712 | 2012-09-26 |
| 1790067460 | Benjamin W Song | Dentist | 2053 Palm Vista Drive, Apopka, FL 32712 | 2011-09-19 |
| 1235367400 | Adventist Home Care Services | Home Health | 1109 Tall Pine Drive, Apopka, FL 32712 | 2009-06-26 |
| Find all providers in zip 32712 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442993 | Daniel S Maswau | Clinic/Center | 625 Wekiva Crest Dr, Apopka, FL 32712-1476 | 2020-09-18 |
| 1215566732 | Nehemiah Daniel Robert Davis | Clinic/Center | 134 E 18th St, Apopka, FL 32703-7123 | 2020-04-06 |
| 1639704414 | A Different World Mental Health Services LLC | Clinic/Center | 2045 Piedmont Park Blvd, Apopka, FL 32703-7661 | 2020-03-11 |
| 1831609403 | Lushell A Raper | Clinic/Center | 1539 Woodwind Dr, Apopka, FL 32703-7246 | 2017-10-09 |
| 1841818176 | J and R Quality Care Services, LLC | Clinic/Center | 236 W 17th St, Apopka, FL 32703-7022 | 2020-07-13 |
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| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.