Organization Active NPI

Agape Perfect Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • River Oaks, TX
National Provider Identifier
1639308273
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AGAPE PERFECT CARE LLC
Doing business as
Agape Perfect Care LLC
Practice address
2609 Jacksboro Hwy
River Oaks, TX 76114-2242
Phone
(817) 715-9030
NPI assigned
Jul 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Ms. Ann Irene Hickson
Title
Program Adminstrator
Phone
(817) 715-9030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

2609 Jacksboro Hwy
River Oaks, TX 76114-2242

Mailing address

2609 Jacksboro Hwy
River Oaks, TX 76114-2242
Phone (817) 715-9030

Other names 1

  • Agape Perfect Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2609 Jacksboro Hwy
River Oaks, TX 76114
Phone (817) 625-0163

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1639308273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 JACKSBORO HWY",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761142242",
            "telephone_number": "817-715-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 JACKSBORO HWY",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761142242",
            "telephone_number": "817-715-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PERFECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PROGRAM ADMINSTRATOR",
        "authorized_official_telephone_number": "817-715-9030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Perfect Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Oaks, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.