CCN: 111733 NPI: 1275895419 Organization

AGAPE HOSPICE CARE OF CARROLLTON, LLC

126 W MONTGOMERY ST
VILLA RICA, GA 301802734

Contact Information

Phone 6786640252
Fax 8666826164
Enumeration Date 2012-06-13
Last Updated 2026-02-13

Taxonomies

Code: 251G00000X (Primary) License State: GA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12060

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99