MEDICARE: AGAPE HOME HEALTH, INC.

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

General Provider Information

NPI Number	:	1790737971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	721 HICKORY ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-2213
Country	:	US
Telephone Number	:	330-762-6486
Fax Number	:	330-762-1230

Provider Business Practice Location Address
First Line	:	721 HICKORY ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-2213
Country	:	US
Telephone Number	:	330-762-6486
Fax Number	:	330-762-1230

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN COLLERAN
Credential	:
Telephone Number	:	440-614-0160

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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