Agape Love International Foundation, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGAPE LOVE INTERNATIONAL FOUNDATION, INC

Practice address

736 Wilson Rd
Humble, TX 77338-5041

Phone

(354) 254-4665

Fax

(346) 345-2543

NPI assigned

Feb 5, 2019

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tysha Detreese Jones

Title

Owner

Phone

(346) 254-4665

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1639634512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 WILSON RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385041",
            "telephone_number": "346-254-4665",
            "fax_number": "346-345-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 WILSON RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385041",
            "telephone_number": "354-254-4665",
            "fax_number": "346-345-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE LOVE INTERNATIONAL FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYSHA",
        "authorized_official_middle_name": "DETREESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-254-4665"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Humble, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.