Provider Demographics
NPI:1952075582
Name:AGAPE HOSPICE CARE OF CLARKE COUNTY, LLC
Entity Type:Organization
Organization Name:AGAPE HOSPICE CARE OF CLARKE COUNTY, LLC
Other - Org Name:SAGE HOSPICE HOLDINGS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRODDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-763-1456
Mailing Address - Street 1:1551 JENNINGS MILL RD UNIT 2100A
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7269
Mailing Address - Country:US
Mailing Address - Phone:404-763-1456
Mailing Address - Fax:
Practice Address - Street 1:1551 JENNINGS MILL RD UNIT 2100A
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7269
Practice Address - Country:US
Practice Address - Phone:404-763-1456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A SERVANTS HEART HOSPICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-06
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based