# AGATHA HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AGATHA HOME HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558107979
- **Legal business name:** AGATHA HOME HEALTH
- **Authorized official:** AARON PAYNE (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (240) 427-7893

## Contact information

- **Practice address:** 2950 FERN HILL PL, WALDORF, MD 20603-4008
- **Practice address phone:** (240) 754-7100
- **Mailing address:** 2950 FERN HILL PL, WALDORF, MD 20603-4008
- **Mailing address phone:** (240) 754-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2024
- **Last updated:** 07/04/2024