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AGAPE HOSPICE CORP.
NPI 1972936821
Hospice Care, Community Based in Southaven, MS

Active since August 14, 2013
1774 MAIN ST, SOUTHAVEN, MS 38671(662) 253-8605(662) 253-8814 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Hospice Care, Community Based

About AGAPE HOSPICE CORP.

This page provides the complete NPI Profile along with additional information for Agape Hospice Corp., a provider established in Southaven, Mississippi operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1972936821 assigned on August 2013. The practitioner's primary taxonomy code is 251G00000X with license number 222 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Jacky Lee Matthews (Administrator)

NPI
1972936821 Verify this NPI
Provider Name
AGAPE HOSPICE CORP.
Entity Type
Organization
Location Address
1774 MAIN ST SOUTHAVEN, MS 38671
Location Phone
(662) 253-8605
Location Fax
(662) 253-8814
Mailing Address
1774 MAIN ST SOUTHAVEN, MS 38671
Mailing Phone
(662) 253-8605
Mailing Fax
(662) 253-8814
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2013
Last Update Date
10-17-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
222
License State
MS

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JACKY LEE MATTHEWS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(662) 253-8605

Reviews for AGAPE HOSPICE CORP.

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Frequently Asked Questions

What is AGAPE HOSPICE CORP.'s NPI number?

The NPI number assigned to this healthcare provider is 1972936821, enumerated as an "organization" on August 14, 2013.

Where is the provider located?

The provider is located at 1774 MAIN ST SOUTHAVEN, MS 38671 and the phone number is (662) 253-8605.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.