Agape' Comprehensive Health Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7296 Issued in OK

Legal business name

AGAPE' COMPREHENSIVE HEALTH SERVICE

Practice address

207 SW C Ave
Lawton, OK 73501-4648

Phone

(580) 351-2273

Fax

(580) 351-1475

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Juanita L. Grooms, RN BSN MS

Title

Ceo

Phone

(580) 351-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1215148010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014648",
            "telephone_number": "580-351-2273",
            "fax_number": "580-351-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014648",
            "telephone_number": "580-351-2273",
            "fax_number": "580-351-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE' COMPREHENSIVE HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "GROOMS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-351-2273",
        "authorized_official_credential": "RN  BSN MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lawton, OK
• Providers in Lawton, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.