Provider Demographics
NPI:1225858095
Name:AGAPE HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:AGAPE HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RABANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-463-7679
Mailing Address - Street 1:185 ANI ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2761
Mailing Address - Country:US
Mailing Address - Phone:808-463-7679
Mailing Address - Fax:
Practice Address - Street 1:185 ANI ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2761
Practice Address - Country:US
Practice Address - Phone:808-463-7679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care