Agape Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011763 Issued in IL

Legal business name

AGAPE HOME HEALTH CARE INC

Practice address

444 N Northwest Hwy
Suite 320
Park Ridge, IL 60068-3277

Phone

(847) 696-1350

Fax

(847) 696-1370

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ajibola A Ayeni

Title

Administrator

Phone

(847) 696-1350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1609921691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683277",
            "telephone_number": "847-696-1350",
            "fax_number": "847-696-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683277",
            "telephone_number": "847-696-1350",
            "fax_number": "847-696-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "AJIBOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-696-1350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "147992",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.