Agape Group Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

013593 Issued in TX

Legal business name

AGAPE GROUP INC

Doing business as

D/B/A Agape Hospice Care

Practice address

3030 Towne Centre Dr
Suite 200
Mesquite, TX 75150-4134

Phone

(972) 279-1000

Fax

(972) 279-1040

NPI assigned

Nov 30, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

AGAPE GROUP INCAs reported in NPPES

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

Authorized official

Name

Mr. Shaji Daniel

Title

Owner/President

Phone

(972) 279-1000

Specialties & licenses 1

Addresses

Other names 1

• D/B/A Agape Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417259235. Details of each certification follow.

• CCN 671683 Hospice · Active · Details

Hospice certification: CCN 671683

Legal name

AGAPE GROUP INC

Doing business as

AGAPE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 22, 2011

Last certification

Jul 9, 2021

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Sep 22, 1995 in TX

Enrollment address

3030 Towne Centre Dr
Ste 200
Mesquite, TX 75150-4134

Other NPIs with the same Medicare PAC ID 1

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

• Agape Group, Inc.

  dba Agape Home Healthcare

  • Home Health Agency
  • Mesquite, TX
  • NPI 1295876829

  8325121536

  Same PAC ID

Listed as

Agape Hospice CareCCN 671683 · All quality measures

Ownership

Other

Certified

Jul 22, 2011

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Agape Group Inc2 organizations share this tax ID, including this one

Part of

Agape Group Inc

Other organizations with this tax ID 1

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

• Agape Group, Inc.

  dba Agape Home Healthcare

  • Home Health Agency
  • Mesquite, TX
  • NPI 1295876829
  NPD tax ID

Locations

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.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Agape Group, Inc.

  dba Agape Home Healthcare

  • Home Health Agency
  • Mesquite, TX
  • NPI 1295876829
  NPPES parent name

Affiliated clinicians 1

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

• Harold K Childs, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1639115140

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1417259235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134",
            "telephone_number": "972-279-1000",
            "fax_number": "972-279-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE GROUP INC",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "SHAJI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-279-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "013593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Agape Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.

Verify at the official NPI Registry.