Provider Demographics
NPI:1376150391
Name:AG HEALTHCARE INC,
Entity Type:Organization
Organization Name:AG HEALTHCARE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBROISE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-803-1333
Mailing Address - Street 1:6495 NEW HAMPSHIRE AVE # B274
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3245
Mailing Address - Country:US
Mailing Address - Phone:888-803-1333
Mailing Address - Fax:888-803-1333
Practice Address - Street 1:6495 NEW HAMPSHIRE AVE # B274
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3245
Practice Address - Country:US
Practice Address - Phone:888-803-1333
Practice Address - Fax:888-803-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health