Agile Team Homecare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AGILE TEAM HOMECARE SERVICES LLC

Practice address

3605 Long Beach Blvd Ste 233a
Long Beach, CA 90807-4024

Phone

(310) 741-1129

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Ijeoma I EzeNPI 1518858315

Title

Administrator

Phone

(310) 741-1129

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ijeoma I Eze

  • Behavior Technician
  • Stuart, FL
  • NPI 1518858315
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1912781782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15419 GRAMERCY PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494712",
            "telephone_number": "310-741-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 233A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074024",
            "telephone_number": "310-741-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15419 Gramercy Pl",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902494712",
            "country_code": "US",
            "telephone_number": "310-741-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGILE TEAM HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-741-1129"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jordan Agnew, PA-C
• Mannat Agnish, MD, MPH
• Shelley Eileen Agrusa, RN

• In Home Supportive Care Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.