Healthcare Provider Details

I. General information

NPI: 1780500876
Provider Name (Legal Business Name): AGAPE OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2762 HERMAN RD
HAMILTON OH
45013-9533
US

IV. Provider business mailing address

2088 CARDINAL AVE
FAIRFIELD OH
45014-5702
US

V. Phone/Fax

Practice location:
  • Phone: 513-262-7383
  • Fax:
Mailing address:
  • Phone:
  • 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: ALACEA BULLOCK
Title or Position: OWNER
Credential:
Phone: 513-262-7383