AGAPE HOSPICE CORP.
NPI 1972936821
Hospice Care, Community Based in Southaven, MS
Active since August 14, 2013
About Agape Hospice Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGAPE HOSPICE CORP. (NPI 1972936821) is a healthcare organization registered as a hospice care, community based in Southaven, Mississippi and active in the NPI registry since August 2013. The organization lists Jacky Lee Matthews, Administrator, as its authorized official.
NPPES Registry Identity
NPI1972936821
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameAGAPE HOSPICE CORP.
Location Address1774 MAIN STSouthaven, MS 38671-1215
Mailing Address1774 Main StSouthaven, MS 38671-1215 · (662) 253-8605 · Fax (662) 253-8814
Phone(662) 253-8605
Fax(662) 253-8814
Organization SubpartNo
Authorized OfficialJacky Lee MatthewsAdministrator · (662) 253-8605
Enumeration DateAugust 14, 2013
Last NPPES UpdateOctober 17, 2013
✔ NPI 1972936821 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in MS · 222
1774 MAIN ST, Southaven, MS 38671
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972936821, enumerated as an "organization" on August 14, 2013.
The provider is located at 1774 MAIN ST SOUTHAVEN, MS 38671 and the phone number is (662) 253-8605.
Hospice Care, Community Based with taxonomy code 251G00000X.