AGAPE HOSPICE CARE OF CAROLLTON, LLC
NPI 1275895419
Hospice Care, Community Based in Villa Rica, GA

Active since June 13, 2012CLIA 11D2044565 · Waiver
126 W MONTGOMERY ST, VILLA RICA, GA 30180(678) 664-0252(866) 682-6164 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Jul 3, 2025, Sep 4, 2024 and 2 more (5 updates tracked since 2021).

About Agape Hospice Care Of Carollton, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE HOSPICE CARE OF CAROLLTON, LLC (NPI 1275895419), doing business as Agape Hospice Care, is a healthcare organization registered as a hospice care, community based in Villa Rica, Georgia and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through September 16, 2027, maintains a secondary practice location in Marietta, and lists Andrea Bohannon, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1275895419
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameAGAPE HOSPICE CARE OF CAROLLTON, LLC
Location Address126 W MONTGOMERY STVilla Rica, GA 30180-2734
Mailing Address717 N Harwood St Ste 550Dallas, TX 75201-6540
Fax(866) 682-6164
Organization SubpartYesParent: Sage Hospice Holdings, Llc
Authorized OfficialAndrea BohannonPresident & Ceo · (214) 628-9951
Enumeration DateJune 13, 2012
Last NPPES UpdateFebruary 13, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1275895419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
126 W MONTGOMERY ST, Villa Rica, GA 30180

Other Names 1

Doing Business AsAgape Hospice Care

Secondary Practice Location 1

Location 11395 S Marietta Pkwy SE Ste 730Marietta, GA 30067-7886 · Phone (678) 664-0252 · Fax (866) 682-6164

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2044565

Agape Hospice Care Of Carollton, LLC · Villa Rica, GA
Active · expires Sep 16, 2027
CLIA Number11D2044565
Laboratory TypeHospice
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDavid L. Boal
Laboratory Phone(404) 763-1456
Laboratory LocationAgape Hospice Care Of Carollton, LLC126 W Montgomery Street, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Hospice Care Of Carollton, LLC's NPI number?

The NPI number for Agape Hospice Care Of Carollton, LLC is 1275895419. It was assigned to this organization in the NPPES registry on June 13, 2012. The provider is doing business as Agape Hospice Care.

Where is Agape Hospice Care Of Carollton, LLC located?

Agape Hospice Care Of Carollton, LLC is located at 126 W Montgomery St, Villa Rica, GA 30180. The listed phone number is (678) 664-0252.

What is Agape Hospice Care Of Carollton, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Agape Hospice Care Of Carollton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2044565) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agape Hospice Care Of Carollton, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Agape Hospice Care Of Carollton, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agape Hospice Care Of Carollton, LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.