Provider Demographics
NPI:1922700608
Name:AGAPE TRANSPORT SERVICES LLC
Entity Type:Organization
Organization Name:AGAPE TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-721-5311
Mailing Address - Street 1:2100 FLAGSTONE CT APT O5
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8757
Mailing Address - Country:US
Mailing Address - Phone:252-721-5311
Mailing Address - Fax:
Practice Address - Street 1:2100 FLAGSTONE CT APT O5
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8757
Practice Address - Country:US
Practice Address - Phone:252-721-5311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)