Provider Demographics
NPI:1770178766
Name:AGAPE CARE LLC
Entity type:Organization
Organization Name:AGAPE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-426-8882
Mailing Address - Street 1:1425 E DUBLIN GRANVILLE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3325
Mailing Address - Country:US
Mailing Address - Phone:614-601-6077
Mailing Address - Fax:614-601-6087
Practice Address - Street 1:1425 E DUBLIN GRANVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3325
Practice Address - Country:US
Practice Address - Phone:614-601-6077
Practice Address - Fax:614-601-6087
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGAPE CARE HOME HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty