NPI 1114575008 · live from the CMS NPI Registry
Agape'S Love
Home Health in Surprise, AZ. National Provider Identifier 1114575008, active.
NPI record
| NPI | 1114575008 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 16682 N West Point Pkwy Apt 123, Surprise, AZ 85374 |
| Practice phone | 602-824-8352 |
| Enumerated | September 3, 2019 |
| Last updated | September 3, 2019 |
| Authorized official | Jasmine Thomas, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — |
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.