Provider Demographics
NPI:1184854192
Name:BD ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:BD ASSISTED LIVING LLC
Other - Org Name:AGAPE CARE HOMES ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-226-0989
Mailing Address - Street 1:2712 HURSTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2402
Mailing Address - Country:US
Mailing Address - Phone:817-281-6707
Mailing Address - Fax:817-281-6717
Practice Address - Street 1:19 GRAHAM LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8431
Practice Address - Country:US
Practice Address - Phone:972-727-0688
Practice Address - Fax:817-281-6717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124543310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility