Provider Demographics
NPI:1982156949
Name:AGAPE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:AGAPE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-344-0699
Mailing Address - Street 1:240 AUBURN WAY S STE 2A
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5452
Mailing Address - Country:US
Mailing Address - Phone:253-344-0699
Mailing Address - Fax:
Practice Address - Street 1:240 AUBURN WAY S STE 2A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5452
Practice Address - Country:US
Practice Address - Phone:253-344-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60443952163W00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA604046953OtherUBI