Provider Demographics
NPI:1134091606
Name:AGAPE HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:AGAPE HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT, ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:NIKSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-687-8339
Mailing Address - Street 1:59 BEAVERBROOK RD STE 201C
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1789
Mailing Address - Country:US
Mailing Address - Phone:201-687-8339
Mailing Address - Fax:
Practice Address - Street 1:59 BEAVERBROOK RD STE 201C
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1789
Practice Address - Country:US
Practice Address - Phone:201-687-8339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health