Healthcare Provider Details

I. General information

NPI: 1417446360
Provider Name (Legal Business Name): AGAPE SENIORS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 S PARKER RD STE 280
AURORA CO
80014-1637
US

IV. Provider business mailing address

2620 S PARKER RD STE 280
AURORA CO
80014-1637
US

V. Phone/Fax

Practice location:
  • Phone: 720-748-0171
  • Fax: 720-748-0172
Mailing address:
  • Phone: 720-748-0171
  • Fax: 720-748-0172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberO4Q275
License Number StateCO

VIII. Authorized Official

Name: YELENA MISKO
Title or Position: ADMINISTRATOR
Credential:
Phone: 720-748-0171