Provider Type Icon

AGAPE MEDICAL SERVICES NPI 1568670040


NPI Information

NPI: 1568670040
Provider Name: AGAPE MEDICAL SERVICES

Doing Business As: AGAPE MEDICAL PRODUCTS AND SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1075 PECAN PARK CIR
JACKSON, MS
ZIP 39209
Phone: (601) 948-0009
Get Directions

AGAPE MEDICAL SERVICES is a durable medical equipment medical supplies in Jackson, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AGAPE MEDICAL SERVICES NPI is 1568670040. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Medical Products And Services.

The provider's business location address is:

1075 PECAN PARK CIR
JACKSON, MS
ZIP 39209-914
Phone: (601) 948-0009
Fax: (601) 948-0079

The provider's authorized official is Danny Anthony Willis .
The authorized official title is Owner and has the following contact phone number (601) 948-0009.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies05799111MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100440338MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.