MEDICARE: AGAPE HEALTH CARE SERVICES INC

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	251E00000X	Home Health Agency	7798	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7798	OTHER	OK	HOME CARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780699173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	8523 E 11TH ST
Second Line	:	SUITE B
City	:	TULSA
State	:	OK
Zip	:	74112-7963
Country	:	US
Telephone Number	:	918-245-8000
Fax Number	:	918-245-8001

Provider Business Practice Location Address
First Line	:	8523 E 11TH ST
Second Line	:	SUITE B
City	:	TULSA
State	:	OK
Zip	:	74112-7963
Country	:	US
Telephone Number	:	918-245-8000
Fax Number	:	918-245-8001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DON EARL CAFFEY
Credential	:
Telephone Number	:	918-245-8000

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	05/07/2012

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Directions to “AGAPE HEALTH CARE SERVICES INC ” Practice Location

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