Provider Demographics
NPI:1427380229
Name:AGAPE HOME CARE INC.
Entity Type:Organization
Organization Name:AGAPE HOME CARE INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-997-0711
Mailing Address - Street 1:1100 56TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-3612
Mailing Address - Country:US
Mailing Address - Phone:262-997-0711
Mailing Address - Fax:262-997-0705
Practice Address - Street 1:1100 56TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-3612
Practice Address - Country:US
Practice Address - Phone:262-997-0711
Practice Address - Fax:262-997-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care