AGAPE FAMILY MEDICAL CENTER LLC (NPI# 1316559248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316559248 |
| Entity Type | Organization |
| Organization Name | AGAPE FAMILY MEDICAL CENTER LLC |
| Practice Address |
1078 W Main St Ste 3 Waterbury CT 06708-2651 |
| Mailing Address |
4 Woodland Trl Ellington CT 06029-3890 |
| Practice Telephone | 8607970572 |
| Mailing Telephone | 8607970572 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | FELISTAS MAZHANDU (OWNER) |
| Authorized Official Telephone | 8607970572 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Agape Family Medical Center LLC | 1078 W Main Street, Waterbury, CT 06708 |
| Street Address |
1078 W MAIN ST STE 3 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508375080 | Christina Audet Solomito | Nurse Practitioner | 133 Scovill St Ste 306, Waterbury, CT 06706-1127 | 2017-09-27 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1609323070 | Laila Jones | Nurse Practitioner | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2016-09-02 |
| 1124484357 | Melanie M.f. Nesprido | Nurse Practitioner | 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 | 2016-01-04 |
| 1447651690 | Matthew L Balanda | Nurse Practitioner | 1389 W Main St Ste 205, Waterbury, CT 06708-3115 | 2014-09-08 |
| 1831523638 | Eileen Anne Knox | Nurse Practitioner | 1253 W Main St, Waterbury, CT 06702-1418 | 2013-08-28 |
| 1033414867 | Steven Paul Jeske | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708 | 2011-01-26 |
| 1982853263 | Leah Lucarelli | Nurse Practitioner | 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 | 2008-09-11 |
| 1891836110 | Michelle Lynn Kennedy | Nurse Practitioner | 51 N Elm St, Waterbury, CT 06702-1511 | 2007-02-09 |
| 1487713947 | Stephanie T Lennon | Nurse Practitioner | 76 Center St, Waterbury, CT 06702-2140 | 2006-12-08 |
| Find all providers in WATERBURY | ||||
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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.