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AGAPE HOSPICE CARE OF CAROLLTON LLC NPI 1275895419


NPI Information

NPI: 1275895419
Provider Name: AGAPE HOSPICE CARE OF CAROLLTON, LLC

Doing Business As: AGAPE HOSPICE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 11D2032300

Address:
126 W MONTGOMERY ST
VILLA RICA, GA
ZIP 30180
Phone: (404) 763-1456
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AGAPE HOSPICE CARE OF CAROLLTON, LLC is a hospice care community based in Villa Rica, GA. AGAPE HOSPICE CARE OF CAROLLTON, LLC NPI is 1275895419. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Hospice Care.

The provider's business location address is:

126 W MONTGOMERY ST
VILLA RICA, GA
ZIP 30180-734
Phone: (404) 763-1456
Fax: (404) 343-4783

The provider's authorized official is Tabitha Droddy .
The authorized official title is Coo and has the following contact phone number (404) 763-1456.

The CLIA number assigned to this NPI record is 11D2032300 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2012 and was last updated on 2/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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