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NPI Code Detail

MEDICARE: AGAPE OHIO LLC

MEDICARE: AGAPE OHIO 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1780500876
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE OHIO LLC
Provider Business Mailing Address
First Line : 2088 CARDINAL AVE
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2762 HERMAN RD
Second Line :
City : HAMILTON
State : OH
Zip : 45013-9533
Country : US
Telephone Number : 513-262-7383
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALACEA BULLOCK
Credential :
Telephone Number : 513-262-7383
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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45013-9533
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Directions to “AGAPE OHIO LLC ” Practice Location

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