MEDICARE: AGAPE HOME HEALTH CARE

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	251E00000X	Home Health Agency	1462665	OH

General Provider Information

NPI Number	:	1497827109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	540 E 105TH ST
Second Line	:	SUITE 305-B
City	:	CLEVELAND
State	:	OH
Zip	:	44108-4301
Country	:	US
Telephone Number	:	216-268-2401
Fax Number	:	216-268-2873

Provider Business Practice Location Address
First Line	:	540 E 105TH ST
Second Line	:	SUITE 305-B
City	:	CLEVELAND
State	:	OH
Zip	:	44108-4301
Country	:	US
Telephone Number	:	216-268-2401
Fax Number	:	216-268-2873

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RAYLEEN WHEADON
Credential	:
Telephone Number	:	216-268-2401

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/09/2011

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Directions to “AGAPE HOME HEALTH CARE ” Practice Location

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