Provider Demographics
NPI:1528861341
Name:AGAPE HOSPICE INC.
Entity type:Organization
Organization Name:AGAPE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:PISARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-386-0246
Mailing Address - Street 1:8517 ALDRICH AVE S
Mailing Address - Street 2:
Mailing Address - City:BOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420
Mailing Address - Country:US
Mailing Address - Phone:612-386-0246
Mailing Address - Fax:
Practice Address - Street 1:5960 HIGHWAY 61NORTH
Practice Address - Street 2:BUILDING 2, SUITE 204
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110
Practice Address - Country:US
Practice Address - Phone:612-386-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based