Provider Demographics
NPI:1114702701
Name:AGOPEY HCS LLC
Entity Type:Organization
Organization Name:AGOPEY HCS LLC
Other - Org Name:GABRIELLE MOORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-600-1240
Mailing Address - Street 1:5969 E NORTHWEST HWY APT 1104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7429
Mailing Address - Country:US
Mailing Address - Phone:469-600-1240
Mailing Address - Fax:
Practice Address - Street 1:5969 E NORTHWEST HWY APT 1104
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7429
Practice Address - Country:US
Practice Address - Phone:469-600-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty