Healthcare Provider Details

I. General information

NPI: 1275499683
Provider Name (Legal Business Name): AGAPE CONSULTING LLC D/B/A ADJUVANT HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 WASHINGTON ST STE 28
HOLLISTON MA
01746-1373
US

IV. Provider business mailing address

118 WASHINGTON ST STE 28
HOLLISTON MA
01746-1373
US

V. Phone/Fax

Practice location:
  • Phone: 858-868-7709
  • Fax: 571-612-2384
Mailing address:
  • Phone: 858-868-7709
  • Fax: 571-612-2384

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: SAMUEL AYODEJI ILESANMI
Title or Position: MANAGING PARTNER
Credential:
Phone: 858-868-7709