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General NPI Number Information
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NPI Number | 1023860632
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Entity Type | Organization
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Legal Business Name | AGAPE HEARTS HOME CARE LLC
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2201 E 46TH ST STE 115
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1449
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Country | US
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Telephone | 317-998-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 5641 WYCKFIELD WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4037
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Country | US
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Telephone | 317-998-5104
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | TAMARA SHORT
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Credential |
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Telephone | 317-998-5104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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