Provider Demographics
NPI:1447019518
Name:AGAPY HOME CARE LLC
Entity type:Organization
Organization Name:AGAPY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-249-6100
Mailing Address - Street 1:1490 MIAMI LN
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-1149
Mailing Address - Country:US
Mailing Address - Phone:480-249-6100
Mailing Address - Fax:
Practice Address - Street 1:1490 MIAMI LN
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-1149
Practice Address - Country:US
Practice Address - Phone:480-249-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care