Organization Active NPI

Agape Family Hospice Inc

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1114632080
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Tiffany Graves, RNNPI 1154971521
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN A91636 · All quality measures
Certified
Sep 6, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2280523Agape Family Hospice Inc9502 Computer Drive, Suite 114, San Antonio, TX 78229Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Nicole Gonu Individual 5% Or Greater Direct Ownership Interest Jan 10, 2023 33%
Corporate DirectorBoard of Director Secretary Jan 10, 2023
W-2 Managing EmployeeRegistered Nurse Jan 10, 2023
Tiffany Graves Individual 5% Or Greater Direct Ownership InterestBoard Director Jan 10, 2023 67%
Corporate OfficerCeo and Cfo Jan 10, 2023
Corporate DirectorBoard of Director President Jan 10, 2023
W-2 Managing EmployeeRegistered Nurse Jan 10, 2023
Justo L Cisneros Individual W-2 Managing EmployeeMedical Director Jun 1, 2023
Carlos M Graves Individual Corporate DirectorBoard of Director Vice President Jan 10, 2023
W-2 Managing EmployeeAdministrator 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.

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.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.