Provider Demographics
NPI:1588973895
Name:AGAPE PALLIATIVE SERVICES, LLC
Entity type:Organization
Organization Name:AGAPE PALLIATIVE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:720-482-1988
Mailing Address - Street 1:6041 S SYRACUSE WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4771
Mailing Address - Country:US
Mailing Address - Phone:720-482-1988
Mailing Address - Fax:720-482-1990
Practice Address - Street 1:6041 S SYRACUSE WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4771
Practice Address - Country:US
Practice Address - Phone:720-482-1988
Practice Address - Fax:720-482-1990
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTEMIS HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health