Healthcare Provider Details

I. General information

NPI: 1972786374
Provider Name (Legal Business Name): AGAPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6475 NEW HAMPSHIRE AVE SUITE 409
HYATTSVILLE MD
20783-3269
US

IV. Provider business mailing address

6475 NEW HAMPSHIRE AVE SUITE 409
HYATTSVILLE MD
20783-3269
US

V. Phone/Fax

Practice location:
  • Phone: 301-270-1144
  • Fax: 202-558-3832
Mailing address:
  • Phone: 301-270-1144
  • Fax: 202-558-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number037464400
License Number StateDC

VIII. Authorized Official

Name: FRANCISCA OWOLABI
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 301-270-1144