Full Gospel

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FULL GOSPEL

Practice address

857 Prospect St
Valparaiso, IN 46385-4552

Phone

(219) 281-9481

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Antoinette CundiffNPI 1265278840

Title

President/Pastor

Phone

(219) 281-9481

Specialties & licenses 1

Addresses

Tax ID family

Buttercup2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Full Gospel

  dba Buttercup

  • Non-emergency Medical Transport (VAN)
  • Valparaiso, IN
  • NPI 1366133548
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Cundiff, OWNER

  • Home Health Aide
  • Valparaiso, IN
  • NPI 1265278840
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1003652660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WILLOWCREEK RD UNIT 1841",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687476",
            "telephone_number": "219-281-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 PROSPECT ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463854552",
            "telephone_number": "219-281-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL GOSPEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "PRESIDENT/PASTOR",
        "authorized_official_telephone_number": "219-281-9481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric G Friedman, M.D.
• Kelly Friendly
• Noel Frigo, APRN
• Cristina Froah
• Lori Ann Fuentes, MSW
• Full Gospel (Buttercup)
• Mollie Mikayla Fulton
• Ashley Gacsy, NP-C
• Raymond Claudious Gager II, P.T.
• Colin Gallagher

• In Home Supportive Care Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.