Provider Demographics
NPI:1740411750
Name:AGAPE HOSPICE LLC
Entity Type:Organization
Organization Name:AGAPE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:IKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-5534
Mailing Address - Street 1:9800 CENTRE PKWY
Mailing Address - Street 2:SUITE 830
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8271
Mailing Address - Country:US
Mailing Address - Phone:713-541-5534
Mailing Address - Fax:713-541-5989
Practice Address - Street 1:9800 CENTRE PKWY
Practice Address - Street 2:SUITE 830
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8271
Practice Address - Country:US
Practice Address - Phone:713-541-5534
Practice Address - Fax:713-541-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based