Provider Demographics
NPI:1801099569
Name:AGAPE HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:AGAPE HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-219-9129
Mailing Address - Street 1:39555 ORCHARD HILL PLACE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5381
Mailing Address - Country:US
Mailing Address - Phone:248-465-8605
Mailing Address - Fax:248-799-9353
Practice Address - Street 1:39555 ORCHARD HILL PLACE
Practice Address - Street 2:SUITE 600
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5381
Practice Address - Country:US
Practice Address - Phone:248-465-8605
Practice Address - Fax:248-799-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health