Active NPI
Agape Home Care Services LLC
Doing business as Reliant at Home
- Home Health Agency
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- 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
- Casey Allen Wilson
- Title
- VP of Ops
- Phone
- (936) 856-6888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Home
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 22, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1099136 | Agape Home Care Services LLC | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| John Boaz | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 10% |
| Darren Sapp | Corporate Officer | May 13, 2021 | |
| Merit Mezzanine Fund VI LP | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 75.3% |
| Tiffany Snider | W-2 Managing Employee | Nov 16, 2021 | |
| Claremont Healthcare Holdings, LLC | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 8% |
| Reliant Home Health LLC | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 100% |
| Reliant at Home Midco LLC | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 100% |
| Matthew McMurphy | Corporate Officer | May 12, 2021 | |
| Reliant at Home Inc | 5% Or Greater Indirect Ownership Interest | May 13, 2021 | 100% |
| Casey Wilson | Corporate Officer | Nov 16, 2021 | |
| W-2 Managing Employee | Nov 16, 2021 | ||
| Rajesh Singh | Corporate Officer | May 13, 2021 | |
| Equicare Holdings 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.
-
dba Reliant at Home
- Home Health Agency
- Tyler, TX
- NPI 1164573184
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
dba Reliant at Home Hospice
- Community Based Hospice Care Agency
- Plano, TX
- NPI 1609287895
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC
-
dba Reliant at Home
- Home Health Agency
- Fort Worth, TX
- NPI 1336234087
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
dba Reliant at Home
- Home Health Agency
- Fort Worth, TX
- NPI 1154321933
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
- Home Health Agency
- Plano, TX
- NPI 1235168345
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
dba Reliant at Home
- Home Health Agency
- Livingston, TX
- NPI 1518053040
Claremont Healthcare Holdings, LLC, Equicare Holdings LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
dba Reliant at Home
- Home Health Agency
- Fort Worth, TX
- NPI 1396252573
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
-
dba Reliant at Home
- Community Based Hospice Care Agency
- The Woodlands, TX
- NPI 1801388459
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC
-
dba Reliant at Home
- Home Health Agency
- El Paso, TX
- NPI 1669631446
Claremont Healthcare Holdings, LLC, Merit Mezzanine Fund VI LP, Reliant at Home Inc, Reliant at Home Midco LLC, Reliant Home Health LLC
Practitioners & affiliated clinicians
Affiliated clinicians 26
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1538185517
Home health agency
-
- Internal Medicine Physician
- Lufkin, TX
- NPI 1497107155
Home health agency
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1669793006
Home health agency
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1528020823
Home health agency
-
- Family Nurse Practitioner
- San Augustine, TX
- NPI 1477442259
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.