MEDICARE: AGAPE HOMECARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215789615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	2909 E ARKANSAS LN STE C-499
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-6941
Country	:	US
Telephone Number	:	469-263-2785
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 E ARKANSAS LN STE C-499
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-6941
Country	:	US
Telephone Number	:	469-263-2785
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RAEDAWN DORRIS
Credential	:
Telephone Number	:	214-970-7994

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	05/20/2025

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Directions to “AGAPE HOMECARE AGENCY LLC ” Practice Location

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