Provider Demographics
NPI:1750100301
Name:AGAPE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AGAPE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RESHMEE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-886-1854
Mailing Address - Street 1:772 HUMPHRY DR
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-4145
Mailing Address - Country:US
Mailing Address - Phone:678-886-1854
Mailing Address - Fax:
Practice Address - Street 1:772 HUMPHRY DR
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-4145
Practice Address - Country:US
Practice Address - Phone:678-886-1854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care