Healthcare Provider Details

I. General information

NPI: 1326074527
Provider Name (Legal Business Name): AGAPE HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17870 CASTLETON ST STE 326
CITY OF INDUSTRY CA
91748-6701
US

IV. Provider business mailing address

17870 CASTLETON ST STE 326
CITY OF INDUSTRY CA
91748-6701
US

V. Phone/Fax

Practice location:
  • Phone: 626-581-8168
  • Fax: 626-581-8468
Mailing address:
  • Phone: 626-581-8168
  • Fax: 626-581-8468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001457
License Number StateCA

VIII. Authorized Official

Name: JASON HU
Title or Position: PRESIDENT
Credential:
Phone: 626-581-8168