Active NPI
House of Agape
- In Home Supportive Care Agency
- Fort Worth, TX
National Provider Identifier
1972851673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.