Organization Active NPI

House of Agape

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1972851673
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOUSE OF AGAPE
Practice address
8109 Cloverglen LN
Fort Worth, TX 76123
Phone
(682) 551-9173
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Mrs. Christine Denise Blackwell
Title
Owner/Ceo
Phone
(682) 551-9173

Specialties & licenses 1

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

Addresses

Primary practice location

8109 Cloverglen LN
Fort Worth, TX 76123

Mailing address

8109 Cloverglen LN
Fort Worth, TX 76123-2018
Phone (682) 551-9173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1972851673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 CLOVERGLEN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232018",
            "telephone_number": "682-551-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 CLOVERGLEN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "682-551-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF AGAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "682-551-9173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.