Provider Demographics
NPI:1538652292
Name:AGAPE HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:AGAPE HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:775-635-2550
Mailing Address - Street 1:PO BOX 1063
Mailing Address - Street 2:
Mailing Address - City:BATTLE MOUNTAIN
Mailing Address - State:NV
Mailing Address - Zip Code:89820-1063
Mailing Address - Country:US
Mailing Address - Phone:775-455-6015
Mailing Address - Fax:
Practice Address - Street 1:105 CARSON RD
Practice Address - Street 2:
Practice Address - City:BATTLE MOUNTAIN
Practice Address - State:NV
Practice Address - Zip Code:89820-2312
Practice Address - Country:US
Practice Address - Phone:775-455-6015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based