Provider Demographics
NPI:1215141064
Name:AGAPE HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:AGAPE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-698-6511
Mailing Address - Street 1:1761 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE410
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1559
Mailing Address - Country:US
Mailing Address - Phone:954-698-6511
Mailing Address - Fax:954-698-6908
Practice Address - Street 1:1761 W HILLSBORO BLVD
Practice Address - Street 2:SUITE410
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1559
Practice Address - Country:US
Practice Address - Phone:954-698-6511
Practice Address - Fax:954-698-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health