AGENA HEALTH LLC (NPI# 1548614597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548614597 |
| Entity Type | Organization |
| Organization Name | AGENA HEALTH LLC |
| Practice Address |
8712 High St Tampa FL 33614-1619 |
| Practice Telephone | 3175142177 |
| Mailing Telephone | 3175142177 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | DR. NSIKAKABASI E EDET (OWNER) |
| Authorized Official Telephone | 3175142177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
8712 HIGH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| 1871087080 | Guardian Haven Academy | Day Training, Developmentally Disabled Services | 3801 Corporex Park Dr Ste 200, Tampa, FL 33619-1136 | 2018-06-20 |
| 1902314214 | Ruthell Jenkins | Day Training, Developmentally Disabled Services | 3720 Williams Landing Cir Unit 208, Tampa, FL 33610-9130 | 2018-01-21 |
| 1396198917 | Shana Taylor Taylor | Day Training, Developmentally Disabled Services | 8005 Downpatrick Ct, Tampa, FL 33610-8074 | 2016-07-19 |
| 1386093144 | Merced Care Home LLC | Day Training, Developmentally Disabled Services | 4616 N Lincoln Ave, Tampa, FL 33614-6634 | 2016-06-11 |
| 1700231198 | Davides Care At Home, Inc. | Day Training, Developmentally Disabled Services | 20013 Satin Leaf Ave, Tampa, FL 33647-3714 | 2016-05-04 |
| 1629475496 | Hugo Vazquez | Day Training, Developmentally Disabled Services | 13927 Briardale Ln, Tampa, FL 33618-2115 | 2014-11-21 |
| 1881933570 | Eden Home Health | Day Training, Developmentally Disabled Services | 10018 N 23rd St, Tampa, FL 33612-7126 | 2013-01-31 |
| 1821386434 | Envisage Abundance, Inc. | Day Training, Developmentally Disabled Services | 1417 Tampa Park Plaza St, Tampa, FL 33605-4821 | 2011-07-17 |
| Find all providers in TAMPA | ||||
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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.