AGAPE ADVANCED HEALTHCARE — NPI 1659231835 (Licensed & Credentialed Licensed Practical Nurse in BAYSIDE, NY)

CMS-1500 Box 24J / 33a • NPI

1659231835

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

5622 CLEARVIEW EXPY, BAYSIDE, NY, 11364-1708

✓ 9-Digit EDI 837 ZIP+4 (11364-1708)

Practice Phone & Referral Fax

(917) 843-6021

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1659231835 (AGAPE ADVANCED HEALTHCARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1659231835` (NPI-2 Organization / Facility)
Provider / Legal Name	AGAPE ADVANCED HEALTHCARE
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5622 CLEARVIEW EXPY, BAYSIDE, NY, 11364-1708
Practice Telephone / Fax	Tel: (917) 843-6021
Administrative Mailing Address	5622 CLEARVIEW EXPY, BAYSIDE, NY, 11364-1708
Enumeration & Last Sync	Enumerated: 2025-11-12 \| CMS Record Updated: 2025-11-12
Authorized Official	LUIS GUILLEN (Licensed Practical Nurse)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5622 CLEARVIEW EXPY, BAYSIDE, NY, 11364-1708

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Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGAPE ADVANCED HEALTHCARE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGAPE ADVANCED HEALTHCARE (NPI #1659231835)