# AGILE CAREGIVERS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740938174
- **Authorized official:** ABA HAMILTON PHILLIPS (OWNER)
- **Authorized official phone:** (612) 323-4117

## Contact information

- **Practice address:** 2236 SWAN LAKE CT, GRAYSON, GA 30017-4221
- **Practice address phone:** (470) 920-3647
- **Mailing address:** 2236 SWAN LAKE CT, GRAYSON, GA 30017-4221
- **Mailing address phone:** (612) 323-4117
- **Mailing address fax:** (404) 420-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 03/23/2022