MEDICARE: AGAPE HOME KARE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1619730439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HOME KARE, LLC

Provider Business Mailing Address
First Line	:	309 PLUS PARK BLVD STE 228
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1005
Country	:	US
Telephone Number	:	629-932-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 PLUS PARK BLVD STE 228
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1005
Country	:	US
Telephone Number	:	629-932-2277
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	COMFORT C. OKORO
Credential	:
Telephone Number	:	615-295-4255

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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