Full Gospel

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FULL GOSPEL

Doing business as

Buttercup

Practice address

857 Prospect St
Valparaiso, IN 46385-4552

Phone

(219) 281-9481

NPI assigned

May 17, 2023

Last updated

May 17, 2023By 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

Antoinette CundiffNPI 1265278840

Title

President

Phone

(219) 281-9481

Specialties & licenses 1

Addresses

Other names 1

• BUTTERCUP Doing business as

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

  • In Home Supportive Care Agency
  • Valparaiso, IN
  • NPI 1003652660
  NPD tax ID

Locations

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1366133548",
    "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": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-281-9481"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUTTERCUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Friendly
• Noel Frigo, APRN
• Cristina Froah
• Lori Ann Fuentes, MSW
• Full Gospel
• Mollie Mikayla Fulton
• Ashley Gacsy, NP-C
• Raymond Claudious Gager II, P.T.
• Colin Gallagher
• Madison Gallagher

• Non-emergency Medical Transport (VAN) in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.