Active NPI
Agape Place Personal Care Homes Inc
- Adult Day Care Clinic/Center
- Dallas, TX
National Provider Identifier
1043415003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AGAPE PLACE PERSONAL CARE HOMES INC
- Practice address
- 3107 W Camp Wisdom Rd Ste 950
Dallas, TX 75237-2645 - Phone
- (214) 941-9925
- Fax
- (214) 941-3822
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana White
- Title
- Ceo/Adm
- Phone
- (214) 941-9925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3107 W Camp Wisdom Rd Ste 950
Dallas, TX 75237-2645
Mailing address
PO Box 4026
Dallas, TX 75208
Phone (214) 941-9925
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012616 | Other | TX | ADULT DAY CARE |
| 001012616 | Other | TX | DADS CONTRACT NUMBER |
| 001012616 | Medicaid | TX |
Other names 1
- Agape Adult Day Care
National Provider Directory
National Provider Directory- Tax ID family
- Agape Adult Day Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Dallas, TX
- NPI 1265629208
-
- Assisted Living Facility
- Dallas, TX
- NPI 1356538391
Locations
3107 W Camp Wisdom Rd
Ste 950
Dallas, TX 75237
Phone (214) 339-4533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560816000000",
"number": "1043415003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4026",
"city": "DALLAS",
"state": "TX",
"postal_code": "75208",
"telephone_number": "214-941-9925",
"fax_number": "214-941-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 W CAMP WISDOM RD STE 950",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372645",
"telephone_number": "214-941-9925",
"fax_number": "214-941-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE PLACE PERSONAL CARE HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2019-06-18",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CEO/ADM",
"authorized_official_telephone_number": "214-941-9925"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT DAY CARE",
"identifier": "001012616",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DADS CONTRACT NUMBER",
"identifier": "001012616",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012616",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Agape Adult Day Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Agape Adult Day Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.