MEDICARE: AGAPE TRANSPORTATION 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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1902759202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1579 W GURLEY ST STE A17
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-2870
Country	:	US
Telephone Number	:	520-456-5140
Fax Number	:	928-441-3610

Provider Business Practice Location Address
First Line	:	1579 W GURLEY ST STE A17
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-2870
Country	:	US
Telephone Number	:	520-456-5140
Fax Number	:	928-441-3610

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD I SMITH
Credential	:
Telephone Number	:	520-456-5140

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “AGAPE TRANSPORTATION LLC ” Practice Location

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