Provider Demographics
NPI:1881295343
Name:AGAPE OHIO LLC
Entity type:Organization
Organization Name:AGAPE OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-259-5955
Mailing Address - Street 1:2762 HERMAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9533
Mailing Address - Country:US
Mailing Address - Phone:513-259-5955
Mailing Address - Fax:
Practice Address - Street 1:2762 HERMAN RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9533
Practice Address - Country:US
Practice Address - Phone:513-259-5955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care