Provider Demographics
NPI:1447004684
Name:AGAPE CARE ADVOCATES LLC
Entity type:Organization
Organization Name:AGAPE CARE ADVOCATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-951-1796
Mailing Address - Street 1:5137 N PAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-7566
Mailing Address - Country:US
Mailing Address - Phone:219-951-1796
Mailing Address - Fax:
Practice Address - Street 1:5137 N PAWNEE TRL
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-7566
Practice Address - Country:US
Practice Address - Phone:219-951-1796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty