Organization Active NPI

Agape Experience Care

  • In Home Supportive Care Agency
  • Auburn, WA
National Provider Identifier
1952230997
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGAPE EXPERIENCE CARE
Practice address
3403 M PL SE Apt a
Auburn, WA 98002-8720
Phone
(206) 688-7823
Fax
(253) 313-9736
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Tyson Ibrahim Jacob
Title
Owner
Phone
(206) 688-7823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3403 M PL SE Apt a
Auburn, WA 98002-8720

Mailing address

3403 M PL SE Apt a
Auburn, WA 98002-8720
Phone (206) 688-7823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1952230997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 M PL SE APT A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028720",
            "telephone_number": "206-688-7823",
            "fax_number": "253-313-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 M PL SE APT A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028720",
            "telephone_number": "206-688-7823",
            "fax_number": "253-313-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE EXPERIENCE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-688-7823"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.