Provider Demographics
NPI:1821612953
Name:AGAPE LOVE PRIMARY HOME CARE, LLC.
Entity Type:Organization
Organization Name:AGAPE LOVE PRIMARY HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-601-0076
Mailing Address - Street 1:1106 W. VETERANS BLVD.
Mailing Address - Street 2:STE E
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-601-0076
Mailing Address - Fax:956-601-0057
Practice Address - Street 1:1106 W. VETERANS BLVD.
Practice Address - Street 2:STE E
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-601-0076
Practice Address - Fax:956-601-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health