MEDICARE: AGAPE WAVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1497554943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE WAVE LLC

Provider Business Mailing Address
First Line	:	3519 CYPRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64128-2838
Country	:	US
Telephone Number	:	816-214-3009
Fax Number	:

Provider Business Practice Location Address
First Line	:	6840 PROSPECT AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1302
Country	:	US
Telephone Number	:	816-214-3009
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. AMRON W JACKSON
Credential	:
Telephone Number	:	816-214-3009

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

Similar Medicare Providers

1639546062 — CHRISTINE M MCKAY APRN FNP-BC
Practice Location Address:

14510 BOTTS RD
KANSAS CITY, MO
64147-1302

Practice Phone: 816-488-3552
Practice Fax:

1558098756 — MR. GERHARD DONI
Practice Location Address:

6500 TROOST AVE
KANSAS CITY, MO
64131-1302

Practice Phone: 913-907-7013
Practice Fax:

1487584322 — NICOLE MARIE BRUNCKHORST
Practice Location Address:

1302 11TH AVE
CENTRAL CITY, NE
68826-1502

Practice Phone: 402-604-5443
Practice Fax:

1861469066 — MARIAN HOME HEALTHCARE
Practice Location Address:

711 5TH ST
SIOUX CITY, IA
51101-1302

Practice Phone: 712-233-5151
Practice Fax: 712-233-5156

1467477612 — DR. GERALD F. MORRIS DC
Practice Location Address:

1302 PLATTE FALLS RD
PLATTE CITY, MO
64079-7281

Practice Phone: 816-858-9990
Practice Fax: 816-858-9992

1396758652 — MRS. KRISTI C PREJEANT M.D.
Practice Location Address:

1302 LAKEWOOD DR. , SUITE 202
MORGAN CITY, LA
70380

Practice Phone: 985-384-3433
Practice Fax: 985-384-3453

Directions to “AGAPE WAVE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.