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General NPI Number Information
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NPI Number | 1215884630
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Entity Type | Organization
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Legal Business Name | AGILE IN-HOME CARE, LLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 2454 N MCMULLEN BOOTH RD STE 700
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City | CLEARWATER
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State | FL
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Zip | 33759-1363
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Country | US
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Telephone | 727-400-3545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15152
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City | CLEARWATER
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State | FL
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Zip | 33766-5152
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Country | US
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Telephone | 727-400-3545
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MARTHA ELAINE HAGAN
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Credential |
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Telephone | 727-400-3545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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