Healthcare Provider Details

I. General information

NPI: 1841904620
Provider Name (Legal Business Name): AGAPE CARE NORTH CAROLINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 HUDLOW RD
FOREST CITY NC
28043-9444
US

IV. Provider business mailing address

187 N CHURCH ST STE 201
SPARTANBURG SC
29306-5154
US

V. Phone/Fax

Practice location:
  • Phone: 828-245-0095
  • Fax: 828-248-1035
Mailing address:
  • Phone: 800-932-2738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: PAMELA DUNCAN
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 800-932-2738