Provider Demographics
NPI:1427718964
Name:AGAPE IN HOME CARE
Entity type:Organization
Organization Name:AGAPE IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:HCA
Authorized Official - Phone:206-790-7733
Mailing Address - Street 1:16301 NE 8TH ST STE 121
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3915
Mailing Address - Country:US
Mailing Address - Phone:425-818-9006
Mailing Address - Fax:425-818-9006
Practice Address - Street 1:16301 NE 8TH ST STE 121
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3915
Practice Address - Country:US
Practice Address - Phone:425-818-9006
Practice Address - Fax:425-818-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-24
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care