Provider Demographics
NPI:1841383783
Name:AGAPI CARE HOSPICE CORP.
Entity Type:Organization
Organization Name:AGAPI CARE HOSPICE CORP.
Other - Org Name:AGAPI CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ESPER
Authorized Official - Middle Name:FONTANILLA
Authorized Official - Last Name:CABALO
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:909-803-7874
Mailing Address - Street 1:738 S WATERMAN AVE STE A21
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2362
Mailing Address - Country:US
Mailing Address - Phone:909-803-7874
Mailing Address - Fax:
Practice Address - Street 1:738 S WATERMAN AVE STE A21
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2362
Practice Address - Country:US
Practice Address - Phone:909-803-7874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based