Healthcare Provider Details

I. General information

NPI: 1750215026
Provider Name (Legal Business Name): AGAPE COMPASSIONATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 SILO ST
BRUNSWICK GA
31525-1285
US

IV. Provider business mailing address

2009 SILO ST
BRUNSWICK GA
31525-1285
US

V. Phone/Fax

Practice location:
  • Phone: 912-602-9704
  • Fax:
Mailing address:
  • Phone: 912-602-9704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONICA DENISE CAIN
Title or Position: OWNER
Credential: LPN
Phone: 912-602-9704