Provider Demographics
NPI:1518536820
Name:AGAPECARE HOSPICE INC
Entity Type:Organization
Organization Name:AGAPECARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PACIFICO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPANAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-580-7788
Mailing Address - Street 1:5701 LONETREE BLVD STE 317
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-3798
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5701 LONETREE BLVD STE 317
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3798
Practice Address - Country:US
Practice Address - Phone:916-580-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based