Provider Demographics
NPI:1538781422
Name:AGAPE HOME CARE SERVICES
Entity type:Organization
Organization Name:AGAPE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PENCEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:718-807-5366
Mailing Address - Street 1:280 OCEAN PKWY APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4031
Mailing Address - Country:US
Mailing Address - Phone:718-807-5366
Mailing Address - Fax:347-404-6720
Practice Address - Street 1:280 OCEAN PKWY APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4031
Practice Address - Country:US
Practice Address - Phone:718-807-5366
Practice Address - Fax:347-404-6720
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEET ME IN THE LAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health