Provider Demographics
NPI:1871743229
Name:AGAPE QUALITY CARE HOME HEALTH, LLC
Entity type:Organization
Organization Name:AGAPE QUALITY CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:512-468-3783
Mailing Address - Street 1:1217 DARJEELING DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3003
Mailing Address - Country:US
Mailing Address - Phone:512-468-3783
Mailing Address - Fax:
Practice Address - Street 1:1217 DARJEELING DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3003
Practice Address - Country:US
Practice Address - Phone:512-468-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health