Provider Demographics
NPI:1013761279
Name:AGAPE CARE & SERVICES
Entity Type:Organization
Organization Name:AGAPE CARE & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:EBIKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-941-5720
Mailing Address - Street 1:3692 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1741
Mailing Address - Country:US
Mailing Address - Phone:317-941-5720
Mailing Address - Fax:
Practice Address - Street 1:3692 WHITE PINE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1741
Practice Address - Country:US
Practice Address - Phone:317-941-5720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)