=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780538827
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AGECRAFTERS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2026
-----------------------------------------------------
Last Update Date | 02/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 202 S CM ALLEN PKWY SUITE 107
-----------------------------------------------------
City | SAN MARCOS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-381-1065
-----------------------------------------------------
Fax | 737-381-1846
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 202 S CM ALLEN PKWY SUITE 107
-----------------------------------------------------
City | SAN MARCOS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-381-1065
-----------------------------------------------------
Fax | 737-381-1846
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VICTOR ESTEBAN CHAVEZ GLEVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 737-381-2374
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------