Provider Demographics
NPI:1598181158
Name:TSJ AGAPECARE INC.
Entity Type:Organization
Organization Name:TSJ AGAPECARE INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-455-5440
Mailing Address - Street 1:2866 WHIPPLE AVE NW UNIT 4
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1532
Mailing Address - Country:US
Mailing Address - Phone:330-455-5440
Mailing Address - Fax:330-455-5339
Practice Address - Street 1:2866 WHIPPLE AVE NW UNIT 4
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1532
Practice Address - Country:US
Practice Address - Phone:330-455-5440
Practice Address - Fax:330-455-5339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2818099Medicaid
OH2947253Medicaid
OH2818099Medicaid