Provider Demographics
NPI:1841981206
Name:AGAPE CARE CENTER LLC
Entity type:Organization
Organization Name:AGAPE CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABIMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:943-461-2503
Mailing Address - Street 1:1002 N MAHAFFIE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6491
Mailing Address - Country:US
Mailing Address - Phone:913-461-2503
Mailing Address - Fax:
Practice Address - Street 1:1002 N MAHAFFIE ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-6491
Practice Address - Country:US
Practice Address - Phone:913-461-2503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities