MEDICARE: AGAPE HEALTH SYSTEMS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center		MD

General Provider Information

NPI Number	:	1689064420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	6707 WHITESTONE RD STE 106
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-4140
Country	:	US
Telephone Number	:	443-865-7549
Fax Number	:

Provider Business Practice Location Address
First Line	:	1726 WHITEHEAD RD
Second Line	:
City	:	WOODLAWN
State	:	MD
Zip	:	21207-4003
Country	:	US
Telephone Number	:	443-865-7549
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	OLANRELE OLADIPO FADIORA
Credential	:	BS
Telephone Number	:	443-865-7549

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	01/09/2026

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Directions to “AGAPE HEALTH SYSTEMS ” Practice Location

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