Organization
AGAPE WAVE LLC
Active
Parent organization
AGAPE WAVE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGAPE WAVE LLC
Authorized official
MR. AMRON JACKSON (OWNER)
(816) 214-3009
Entity
Organization
Contact information
Practice address
6842 PROSPECT AVE, SUITE 2, KANSAS, MO 64132
(816) 214-3009
Mailing address
3519 CYPRESS AVE, KANSAS CITY, MO 64128-2838
(816) 214-3009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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