Provider Demographics
NPI:1437026804
Name:AGAPE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AGAPE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:260-580-8658
Mailing Address - Street 1:6633 E STATE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-7035
Mailing Address - Country:US
Mailing Address - Phone:260-580-8658
Mailing Address - Fax:260-818-2000
Practice Address - Street 1:6633 E STATE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-7035
Practice Address - Country:US
Practice Address - Phone:260-580-8658
Practice Address - Fax:260-818-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health