Active NPI
Agape Family Hospice Inc
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AGAPE FAMILY HOSPICE INC
- Practice address
- 9502 Computer Dr # 114
San Antonio, TX 78229-2382 - Phone
- (210) 702-3933
- Fax
- (210) 907-8861
- NPI assigned
- Jan 16, 2023
- Last updated
- Mar 23, 2026
- 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
- Tiffany Graves, RN
- Title
- Ceo
- Phone
- (210) 251-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9502 Computer Dr # 114
San Antonio, TX 78229-2382
Mailing address
9502 Computer Dr # 114
San Antonio, TX 78229-2382
Phone (210) 702-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230626002249 | TX | Part A Provider - Hospice | 2961860770 | Practice locations: San Antonio, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114632080. Details of each certification follow.
Hospice certification: CCN A91636
- Legal name
- AGAPE FAMILY HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 6, 2023
- Last certification
- Aug 31, 2023
- Organization structure
- Corporation
- Incorporated
- Jan 10, 2023 in TX
- Enrollment address
- 9502 Computer Dr
Ste 114
San Antonio, TX 78229-2383
Care Compare: Hospice
Medicare Care Compare- Listed as
- Agape Family Hospice Inc
- Certified
- Sep 6, 2023
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 45D2280523 | Agape Family Hospice Inc | Certificate of waiver | Apr 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
9502 Computer Dr
#114
San Antonio, TX 78229
Phone (210) 702-3933
9502 Computer Dr
Ste 114
San Antonio, TX 78229
Phone (210) 702-3933
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Nicole Gonu | 5% Or Greater Direct Ownership Interest | Jan 10, 2023 | 33% |
| Corporate Director | Jan 10, 2023 | ||
| W-2 Managing Employee | Jan 10, 2023 | ||
| Tiffany Graves | 5% Or Greater Direct Ownership Interest | Jan 10, 2023 | 67% |
| Corporate Officer | Jan 10, 2023 | ||
| Corporate Director | Jan 10, 2023 | ||
| W-2 Managing Employee | Jan 10, 2023 | ||
| Justo L Cisneros | W-2 Managing Employee | Jun 1, 2023 | |
| Carlos M Graves | Corporate Director | Jan 10, 2023 | |
| W-2 Managing Employee | Jan 10, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1427168061
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- San Antonio, TX
- NPI 1154971521
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1427168061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1114632080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9502 COMPUTER DR # 114",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292382",
"telephone_number": "210-702-3933",
"fax_number": "210-907-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9502 COMPUTER DR # 114",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292382",
"telephone_number": "210-702-3933",
"fax_number": "210-907-8861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE FAMILY HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-251-8000",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.