1205473311 NPI number — AGAPE CARE LLC

Table of content: (NPI 1205473311)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205473311 NPI number — AGAPE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AGAPE CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205473311
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4747 RESEARCH FOREST DR # 180-292
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77381-4912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7807 LONG POINT RD STE 430
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77055-3763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-680-2273
Provider Business Practice Location Address Fax Number:
832-201-8794
Provider Enumeration Date:
12/09/2019

Additional Information

Authorized Official

Authorized Official Last Name:
CALHOUN
Authorized Official First Name:
JANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ ADMINISTRATOR
Authorized Official Telephone Number:
713-668-3883

Provider Taxonomy Codes

  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 014093 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 334245301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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