Provider Demographics
NPI:1841756178
Name:AGAPE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:AGAPE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLADOTUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAYINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-210-9431
Mailing Address - Street 1:525 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1075
Mailing Address - Country:US
Mailing Address - Phone:872-210-9431
Mailing Address - Fax:
Practice Address - Street 1:525 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1075
Practice Address - Country:US
Practice Address - Phone:872-210-9431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)