Provider Demographics
NPI:1629767207
Name:AGAPES HELPING HANDS
Entity Type:Organization
Organization Name:AGAPES HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VALENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-251-0245
Mailing Address - Street 1:3833 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90018-2321
Mailing Address - Country:US
Mailing Address - Phone:310-251-0245
Mailing Address - Fax:
Practice Address - Street 1:3833 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90018-2321
Practice Address - Country:US
Practice Address - Phone:310-251-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty