Agape Group, Inc.
Organization Active NPI Home Health Agency · Mesquite, TX
NPI 1295876829 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1295876829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 004681 (TX)
- Legal business name
- AGAPE GROUP, INC.
- Practice address
- 18770 LBJ Fwy
Suite 200
Mesquite, TX 75150-6407 - Phone
- (972) 681-5959
- Fax
- (972) 681-8425
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Shaji K Daniel
- Title
- President
- Phone
- (972) 681-5959
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Medicare Care Compare: Home health agency
- Listed as
- Agape Home Healthcare
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Sep 9, 1994
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 458154
- Legal name
- AGAPE GROUP INC
- Doing business as
- AGAPE HOME HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 9, 1994
- Last certification
- Jan 22, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 22, 1995 in TX
- Enrollment address
- 18770 LBJ Freeway
Suite 100
Mesquite, TX 75150-6407
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Shiney Daniel |
5% Or Greater Direct Ownership Interest | Sep 9, 1994 | |
| Corporate Director | Sep 9, 1994 | ||
| W-2 Managing Employee | Sep 9, 1994 | ||
| Shaji Daniel |
5% Or Greater Direct Ownership Interest | Sep 9, 1994 | |
| Corporate Director | Sep 9, 1994 | ||
| W-2 Managing Employee | Sep 9, 1994 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080212000166 | TX | Part a Provider - Home Health Agency | 8325121536 | Practice locations: Mesquite, TX |
National Provider Directory
- Tax ID family
- Agape Group Inc
Locations
18770 Lyndon B Johnson Fwy
Ste 100
Mesquite, TX 75150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | 004681 | TX | Yes |
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
18770 LBJ Fwy
Suite 200
Mesquite, TX 75150-6407
Mailing address
18770 LBJ Fwy
Suite 200
Mesquite, TX 75150-6407
Phone (972) 681-5959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023914701 | Medicaid | TX | |
| 000854100 | Other | TX | CBA CONTRACT |
| 000034900 | Other | TX | PRIMARY CARE CONTRACT |
Other names
- Agape Home Healthcare
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.