Provider Demographics
NPI:1225681752
Name:AGATE ENTERPRISE LLC
Entity Type:Organization
Organization Name:AGATE ENTERPRISE LLC
Other - Org Name:AGATE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:ABBAS
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-542-6180
Mailing Address - Street 1:205 FRASHER WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2426
Mailing Address - Country:US
Mailing Address - Phone:404-542-6180
Mailing Address - Fax:
Practice Address - Street 1:205 FRASHER WAY
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2426
Practice Address - Country:US
Practice Address - Phone:404-542-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care