Healthcare Provider Details

I. General information

NPI: 1184543456
Provider Name (Legal Business Name): AGAPE SAFECARE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 ADAK AVE
LIMA OH
45805-3903
US

IV. Provider business mailing address

1439 ADAK AVE
LIMA OH
45805-3903
US

V. Phone/Fax

Practice location:
  • Phone: 567-242-9192
  • Fax: 567-242-6419
Mailing address:
  • Phone: 567-242-9192
  • Fax: 567-242-6419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: DR. MARANATHA C IHEKORONYE
Title or Position: FNP
Credential: DNP, FNP-BC, RN
Phone: 567-242-6419