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AGAPE PLACE PERSONAL CARE HOMES INC NPI 1043415003


NPI Information

NPI: 1043415003
Provider Name: AGAPE PLACE PERSONAL CARE HOMES INC

Doing Business As: AGAPE ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3107 W CAMP WISDOM RD STE 950
DALLAS, TX
ZIP 75237
Phone: (214) 941-9925
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AGAPE PLACE PERSONAL CARE HOMES INC is an adult day care clinic center in Dallas, TX. AGAPE PLACE PERSONAL CARE HOMES INC NPI is 1043415003. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Adult Day Care.

The provider's business location address is:

3107 W CAMP WISDOM RD STE 950
DALLAS, TX
ZIP 75237-645
Phone: (214) 941-9925
Fax: (214) 941-3822

The provider's authorized official is Dana White .
The authorized official title is Ceo/adm and has the following contact phone number (214) 941-9925.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 6/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001012616OTHERTEXASADULT DAY CARE
2001012616OTHERTEXASDADS CONTRACT NUMBER
3001012616MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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