Provider Demographics
NPI:1184042426
Name:AGAPE HEALTHCARE SYSTEMS INC
Entity Type:Organization
Organization Name:AGAPE HEALTHCARE SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:NDEGWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-710-7266
Mailing Address - Street 1:3 LITTLETON RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3158
Mailing Address - Country:US
Mailing Address - Phone:978-710-7266
Mailing Address - Fax:978-710-7260
Practice Address - Street 1:3 LITTLETON RD
Practice Address - Street 2:SUITE 7
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3158
Practice Address - Country:US
Practice Address - Phone:978-710-7266
Practice Address - Fax:978-710-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health