Organization Active NPI

Winds of Agape

  • Home Health Agency
  • Syracuse, NY
National Provider Identifier
1023210184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1090L001 Issued in NY
Legal business name
WINDS OF AGAPE
Practice address
1414 Grant Blvd
Syracuse, NY 13208-3012
Phone
(315) 425-0547
Fax
(315) 295-0264
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laverne Torrence, RN, MSN
Title
Administrator
Phone
(315) 425-0547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1090L001 NY Primary

Addresses

Primary practice location

1414 Grant Blvd
Syracuse, NY 13208-3012

Mailing address

1414 Grant Blvd
Syracuse, NY 13208-3012
Phone (315) 425-0547

Other identifiers 2

IdentifierTypeStateIssuer
02374601MedicaidNY
02408060MedicaidNY

National Provider Directory

National Provider Directory

Locations

1414 Grant Blvd
Syracuse, NY 13208
Phone (315) 425-0547

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023210184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083012",
            "telephone_number": "315-425-0547",
            "fax_number": "315-295-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083012",
            "telephone_number": "315-425-0547",
            "fax_number": "315-295-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF AGAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRENCE",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-425-0547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1090L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02374601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.