Provider Demographics
NPI:1295038198
Name:AGAPE' CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:AGAPE' CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, GSW
Authorized Official - Phone:225-928-1730
Mailing Address - Street 1:PO BOX 2900
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70054-2900
Mailing Address - Country:US
Mailing Address - Phone:225-928-1730
Mailing Address - Fax:225-928-1824
Practice Address - Street 1:784 BEHRMAN HWY
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-3012
Practice Address - Country:US
Practice Address - Phone:225-928-1730
Practice Address - Fax:225-928-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9967253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care