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AGAPE CARE SERVICES LLC NPI 1053077792


NPI Information

NPI: 1053077792
Provider Name: AGAPE CARE SERVICES LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 11D2157295

Address:
2505 CLUB PL
DULUTH, GA
ZIP 30096
Phone: (954) 451-4116
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AGAPE CARE SERVICES LLC is a nursing care in Duluth, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. AGAPE CARE SERVICES LLC NPI is 1053077792. The provider is registered as an organization entity type.

The provider's business location address is:

2505 CLUB PL
DULUTH, GA
ZIP 30096-218
Phone: (954) 451-4116

The provider's authorized official is Tracey Civil .
The authorized official title is Home Care Provider and has the following contact phone number (954) 451-4116.

The CLIA number assigned to this NPI record is 11D2157295 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.


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
1251J00000XNursing CareYes

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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