MEDICARE: AGAPE HEALTHCARE SYSTEMS CORP

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	291U00000X	Clinical Medical Laboratory	LH00422	NC
4	251J00000X	Nursing Care Agency	HC2914	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265526016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HEALTHCARE SYSTEMS CORP

Provider Business Mailing Address
First Line	:	1015 ROANOKE AVE
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-3722
Country	:	US
Telephone Number	:	252-537-2473
Fax Number	:	888-315-1326

Provider Business Practice Location Address
First Line	:	1015 ROANOKE AVE
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-3722
Country	:	US
Telephone Number	:	252-537-2473
Fax Number	:	888-315-1326

Authorized Official
Title or Position	:	OWNER
Name	:	LATISHA HOLT
Credential	:
Telephone Number	:	252-537-2473

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/06/2011

Similar Medicare Providers

1003335415 — LA-CHINTA DAYE
Practice Location Address:

5221 KING ARTHURS CT NW APT 3
ROANOKE, VA
24019-3722

Practice Phone: 540-206-9421
Practice Fax:

1447455415 — FOREST HILLS PODIATRY
Practice Location Address:

4915 CASCADE RD SE
GRAND RAPIDS, MI
49546-3722

Practice Phone: 616-942-5061
Practice Fax:

1275784480 — FOREST HILLS PODIATRY PC
Practice Location Address:

4915 CASCADE RD SE
GRAND RAPIDS, MI
49546-3722

Practice Phone: 616-942-5061
Practice Fax:

1104180215 — DR. THERESA ANNE OSMER D.C.
Practice Location Address:

4945 CASCADE RD SE
GRAND RAPIDS, MI
49546-3722

Practice Phone: 616-200-8606
Practice Fax:

1841742574 — THERESA A OSMER PC
Practice Location Address:

4945 CASCADE RD SE
GRAND RAPIDS, MI
49546-3722

Practice Phone: 616-200-8606
Practice Fax:

1396676615 — PUTNEY & PUTNEY LLC
Practice Location Address:

4873 THELMA RD
ROANOKE RAPIDS, NC
27870-8715

Practice Phone: 919-896-0673
Practice Fax: 919-488-5151

Directions to “AGAPE HEALTHCARE SYSTEMS CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.