Provider Demographics
NPI:1093823551
Name:AGAPE SOLUTIONS HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:AGAPE SOLUTIONS HEALTHCARE SERVICES LLC
Other - Org Name:AGAPE HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:SANDRA
Authorized Official - Last Name:IKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-541-5989
Mailing Address - Street 1:9800 CENTRE PKWY
Mailing Address - Street 2:SUITE 830
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-541-5534
Mailing Address - Fax:713-541-5989
Practice Address - Street 1:13612 BARTON MEADOW CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583
Practice Address - Country:US
Practice Address - Phone:281-431-1751
Practice Address - Fax:281-431-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
743199Medicare PIN