Organization Active NPI

Agape Home Healthcare LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1801407556
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 23, 2021

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthcareCCN 748114
Ownership
-
Certified
Mar 3, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Anel Hernandez Individual 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

Verify at the official NPI Registry.