Organization Active NPI

Agape Home Care Services LLC

Doing business as Reliant at Home

  • Home Health Agency
  • Lufkin, TX
National Provider Identifier
1043450125
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGAPE HOME CARE SERVICES LLC
Doing business as
Reliant at Home
Practice address
1502 S John Redditt Dr
Lufkin, TX 75904-5454
Phone
(936) 632-4273
Fax
(936) 632-4275
NPI assigned
Mar 2, 2009
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Casey Allen Wilson
Title
VP of Ops
Phone
(936) 856-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

1502 S John Redditt Dr
Lufkin, TX 75904-5454

Mailing address

1502 S John Redditt Dr
Lufkin, TX 75904-5454
Phone (936) 632-4273

Other names 1

  • Reliant at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090626000250 TX Part A Provider - Home Health Agency 1658422951 Practice locations: Lufkin, TX; Nacogdoches, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043450125. Details of each certification follow.

Home health agency certification: CCN 747328

Legal name
AGAPE HOME CARE SERVICES LLC
Doing business as
RELIANT AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 22, 2010
Last certification
Mar 30, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 27, 2009 in TX
Enrollment address
1502 S John Redditt Dr
Lufkin, TX 75904-5454

Care Compare: Home health agency

Medicare Care Compare
Listed as
Reliant at HomeCCN 747328 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 22, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1099136Agape Home Care Services LLC1502 S John Redditt Dr, Lufkin, TX 75904Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory

Locations

1502 S John Redditt Dr
Lufkin, TX 75904
Phone (866) 344-2821

416A North St
Nacogdoches, TX 75961
Phone (866) 344-2821

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Boaz Individual 5% Or Greater Indirect Ownership Interest May 13, 2021 10%
Darren Sapp Individual Corporate OfficerVP of Bus Admin May 13, 2021
Merit Mezzanine Fund VI LP Organization, Plano, TX 5% Or Greater Indirect Ownership Interest May 13, 2021 75.3%
Tiffany Snider Individual W-2 Managing EmployeeAdministrator Nov 16, 2021
Claremont Healthcare Holdings, LLC Organization, Plano, TX Corporation 5% Or Greater Indirect Ownership Interest May 13, 2021 8%
Reliant Home Health LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest May 13, 2021 100%
Reliant at Home Midco LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest May 13, 2021 100%
Matthew McMurphy Individual Corporate OfficerPresident/Ceo May 12, 2021
Reliant at Home Inc Organization, Plano, TX Corporation 5% Or Greater Indirect Ownership Interest May 13, 2021 100%
Casey Wilson Individual Corporate OfficerVP Nov 16, 2021
W-2 Managing EmployeeAlt. Admin Nov 16, 2021
Rajesh Singh Individual Corporate OfficerVP May 13, 2021
Equicare Holdings LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Apr 7, 2020 100%

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1043450125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045454",
            "telephone_number": "936-632-4273",
            "fax_number": "936-632-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045454",
            "telephone_number": "936-632-4273",
            "fax_number": "936-632-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VP OF OPS",
        "authorized_official_telephone_number": "936-856-6888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.