MEDICARE: AGAPE ACS RESIDENTIAL CARE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0630X	Assisted Living Facility (Behavioral Disturbances)

General Provider Information

NPI Number	:	1285572776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE ACS RESIDENTIAL CARE HOME

Provider Business Mailing Address
First Line	:	19618 ALBANY OAKS LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2351
Country	:	US
Telephone Number	:	832-451-8315
Fax Number	:	832-451-6077

Provider Business Practice Location Address
First Line	:	19618 ALBANY OAKS LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2351
Country	:	US
Telephone Number	:	832-451-8315
Fax Number	:	832-451-6077

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	AIDA GARCIA
Credential	:	GARCIA
Telephone Number	:	832-451-8315

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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