Healthcare Provider Details

I. General information

NPI: 1487203055
Provider Name (Legal Business Name): AGAPAO HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 W CHELTENHAM AVE BSMT 6
ELKINS PARK PA
19027-3001
US

IV. Provider business mailing address

1135 W CHELTENHAM AVE BSMT 6
ELKINS PARK PA
19027-3001
US

V. Phone/Fax

Practice location:
  • Phone: 215-335-7000
  • Fax: 215-335-9000
Mailing address:
  • Phone: 215-335-7000
  • Fax: 215-335-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEBBIE LAURENCEAU
Title or Position: OWNER
Credential:
Phone: 215-335-7000