Family Faith Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4125 Issued in OK

Legal business name

FAMILY FAITH HOSPICE, INC.

Practice address

1836 NW 52ND St
Suite B
Lawton, OK 73505-3122

Phone

(580) 353-2711

Fax

(580) 353-1887

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Troy L. Ayers

Title

President

Phone

(405) 330-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faith Hospice of SW Oklahoma Doing business as

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1689637381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 NW 164TH ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131051",
            "telephone_number": "405-330-2300",
            "fax_number": "405-330-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NW 52ND ST",
            "address_2": "SUITE B",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053122",
            "telephone_number": "580-353-2711",
            "fax_number": "580-353-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FAITH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-330-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087110 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hospice of SW Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Lawton, OK
• Providers in Lawton, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.