Provider Demographics
NPI:1912706144
Name:AGAPE CARING HOME HEALTH AND STAFFING AGENCY LLC
Entity type:Organization
Organization Name:AGAPE CARING HOME HEALTH AND STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN.,BSN
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-971-0770
Mailing Address - Street 1:388 PLEASANT ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-8143
Mailing Address - Country:US
Mailing Address - Phone:781-971-0770
Mailing Address - Fax:
Practice Address - Street 1:388 PLEASANT ST STE 201A
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-8143
Practice Address - Country:US
Practice Address - Phone:781-971-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency