AGAPE RESIDENTIAL CARE LLC NPI 1346067436

NPI Information

  • NPI: 1346067436
  • Provider Name: AGAPE RESIDENTIAL CARE, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: AGAPE RESIDENTIAL CARE
  • Address: 1022 BLAIR FIELD LN
    FRESNO, TX
    ZIP 77545
  • Phone: (979) 388-8848

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NPI Details

AGAPE RESIDENTIAL CARE, LLC is an adult care home custodial care facility in Fresno, TX. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. AGAPE RESIDENTIAL CARE, LLC NPI is 1346067436. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Residential Care.

The provider's business location address is:

1022 BLAIR FIELD LN
FRESNO, TX
ZIP 77545-689
Phone: (979) 388-8848

The provider's authorized official is Octavia L Kennard .
The authorized official title is Ceo/provider and has the following contact phone number (337) 570-8647.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 10/14/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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