Provider Demographics
NPI:1790737971
Name:AGAPE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AGAPE HOME HEALTH, INC.
Other - Org Name:AMERICAN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLERAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-614-0160
Mailing Address - Street 1:721 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-2213
Mailing Address - Country:US
Mailing Address - Phone:330-762-6486
Mailing Address - Fax:330-762-1230
Practice Address - Street 1:721 HICKORY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-2213
Practice Address - Country:US
Practice Address - Phone:330-762-6486
Practice Address - Fax:330-762-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368018Medicare ID - Type Unspecified