Organization Active NPI

Agape Group, Inc.

Doing business as Agape Home Healthcare

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1295876829
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004681 Issued in TX
Legal business name
AGAPE GROUP, INC.
Doing business as
Agape Home Healthcare
Practice address
18770 LBJ Fwy
Suite 200
Mesquite, TX 75150-6407
Phone
(972) 681-5959
Fax
(972) 681-8425
NPI assigned
Feb 8, 2007
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Shaji K Daniel
Title
President
Phone
(972) 681-5959

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X 004681 TX Primary
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 names 1

  • Agape Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000166 TX Part A Provider - Home Health Agency 8325121536 Practice locations: Mesquite, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295876829. Details of each certification follow.

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
CorporationProprietary
Incorporated
Aug 22, 1995 in TX
Enrollment address
18770 LBJ Freeway
Suite 100
Mesquite, TX 75150-6407

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Agape Home HealthcareCCN 458154 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 9, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Agape Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18770 Lyndon B Johnson Fwy
Ste 100
Mesquite, TX 75150

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Shiney Daniel Individual 5% Or Greater Direct Ownership Interest Sep 9, 1994
Corporate Director Sep 9, 1994
W-2 Managing Employee Sep 9, 1994
Shaji Daniel Individual 5% Or Greater Direct Ownership Interest Sep 9, 1994
Corporate Director Sep 9, 1994
W-2 Managing Employee Sep 9, 1994

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1295876829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18770 LBJ FWY",
            "address_2": "SUITE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506407",
            "telephone_number": "972-681-5959",
            "fax_number": "972-681-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18770 LBJ FWY",
            "address_2": "SUITE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506407",
            "telephone_number": "972-681-5959",
            "fax_number": "972-681-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "SHAJI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-681-5959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004681",
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.