Provider Demographics
NPI:1942919550
Name:AGILE CARE LLC
Entity Type:Organization
Organization Name:AGILE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:JITZI
Authorized Official - Last Name:NGWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-641-4364
Mailing Address - Street 1:2489 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1300
Mailing Address - Country:US
Mailing Address - Phone:919-641-4364
Mailing Address - Fax:
Practice Address - Street 1:2489 WILSON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1300
Practice Address - Country:US
Practice Address - Phone:919-641-4364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)