Healthcare Provider Details

I. General information

NPI: 1013769512
Provider Name (Legal Business Name): AGAPE COMFORT CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 NORTH AVE STE 104 ROOM #14
JONESBORO GA
30236-3292
US

IV. Provider business mailing address

186 NORTH AVE STE 104 ROOM #14
JONESBORO GA
30236
US

V. Phone/Fax

Practice location:
  • Phone: 470-666-5359
  • Fax: 470-615-2528
Mailing address:
  • Phone: 470-666-5359
  • Fax: 470-615-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE LATRICE SANDS
Title or Position: CEO
Credential:
Phone: 678-485-4866