Provider Demographics
NPI:1619556636
Name:THE AGENCY HEALTHCARE LLC
Entity Type:Organization
Organization Name:THE AGENCY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-363-5051
Mailing Address - Street 1:78 SW 7TH ST STE 7137
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3402
Mailing Address - Country:US
Mailing Address - Phone:305-363-5051
Mailing Address - Fax:305-363-3139
Practice Address - Street 1:820 W 41ST ST STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3305
Practice Address - Country:US
Practice Address - Phone:305-363-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health