Active NPI
Agape Home Healthcare LLC
- Home Health Agency
- El Paso, TX
National Provider Identifier
1801407556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AGAPE HOME HEALTHCARE LLC
- Practice address
- 12001 Dragon Crest Dr
El Paso, TX 79936-0363 - Phone
- (915) 820-3627
- NPI assigned
- Aug 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anel Hernandez
- Title
- Administrator
- Phone
- (915) 820-3627
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
12001 Dragon Crest Dr
El Paso, TX 79936-0363
Mailing address
PO Box 963286
El Paso, TX 79996-3286
Phone (915) 820-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221004004020 | TX | Part A Provider - Home Health Agency | 0749666386 | Practice locations: El Paso, TX |
Home health agency certification: CCN 748114
- Legal name
- AGAPE HOME HEALTHCARE LLC
- Doing business as
- AGAPE HOME HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 3, 2024
- Last certification
- Feb 15, 2024
- Organization structure
- LLC
- Incorporated
- Jul 24, 2020 in TX
- Enrollment address
- 12001 Dragon Crest Dr
El Paso, TX 79936-0363
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Agape Home Healthcare
- Ownership
- -
- Certified
- Mar 3, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anel Hernandez | 5% Or Greater Direct Ownership Interest | Jul 24, 2020 | 100% |
| Corporate Officer | Jul 24, 2020 | 100% | |
| Corporate Director | Jul 24, 2020 | ||
| W-2 Managing Employee | Jul 24, 2020 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619136000000",
"number": "1801407556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 963286",
"city": "EL PASO",
"state": "TX",
"postal_code": "799963286",
"telephone_number": "915-820-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 DRAGON CREST DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360363",
"telephone_number": "915-820-3627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-14",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ANEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "915-820-3627"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.