AGAPE MEDICAL SERVICE LLC (NPI# 1851720676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851720676 |
| Entity Type | Organization |
| Organization Name | AGAPE MEDICAL SERVICE LLC |
| Practice Address |
6005 Landover Rd Suite 1 Cheverly MD 20785-1145 |
| Mailing Address |
Po Box 1593 Landover MD 20785-0593 |
| Practice Telephone | 3013227722 |
| Practice Fax Number | 3013227723 |
| Mailing Telephone | (301) 322-7722 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | PERPETUA B JOHNSON (OWNER) |
| Authorized Official Telephone | 3013227722 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN961144 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R148142 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 091815400 | 05 | |
| MD | 538602100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1924 Benning Rd Ne Fl 1, Washington, DC 200024782 | 2023990197 |
| Street Address |
6005 LANDOVER RD SUITE 1 |
| City | CHEVERLY |
| State | MD |
| Zip Code | 20785-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720095888 | Haluk B Boneval | Surgery | 6005 Landover Rd, Cheverly, MD 20785-1145 | 2006-08-02 |
| 1912371709 | Diamond Integrated Company | Clinical Medical Laboratory | 6005 Landover Rd, 104b, Cheverly, MD 20785-1145 | 2015-11-17 |
| 1083913669 | Perpetua Bejose Johnson | Nurse Practitioner | 6005 Landover Rd, Suite 1, Cheverly, MD 20785-1145 | 2011-03-22 |
| 1740514967 | Cheverly Women Healthcare Inc. | Specialist | 6005 Landover Rd, Suite 5, Cheverly, MD 20785-1145 | 2009-09-21 |
| 1831226356 | Abdul G. Chaudry | Obstetrics & Gynecology | 6005 Landover Rd, Suite 5, Cheverly, MD 20785-1145 | 2007-02-28 |
| 1457496614 | Elwood S. Holland, M.d., P.a. | Family Medicine | 6005 Landover Rd, Ste. 3, Cheverly, MD 20785-1145 | 2007-02-21 |
| 1821136466 | Elwood Samuel Holland | Family Medicine | 6005 Landover Rd, Ste. 3, Cheverly, MD 20785-1145 | 2007-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345888 | Banchayehu Gizaw | Nurse Practitioner | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-01-08 |
| 1326550963 | Charlotte Ebong Ndema | Nurse Practitioner | 3003 Hospital Dr, Cheverly, MD 20785-1194 | 2017-11-03 |
| 1952820748 | Emily Quinn Yelverton | Nurse Practitioner | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2017-09-13 |
| 1699292169 | Lenora Dianne Woolary | Nurse Practitioner | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2017-08-25 |
| 1598044026 | Sharon Anderson | Nurse Practitioner | 6490 Landover Rd, Suite # G, Cheverly, MD 20785-1443 | 2011-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| 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.