AGAPE HOSPICE CARE OF RUSTON, LLC (NPI# 1598987455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598987455 |
| Entity Type | Organization |
| Organization Name | AGAPE HOSPICE CARE OF RUSTON, LLC |
| Practice Address |
1503 Goodwin Rd Suite 101 Ruston LA 71270-2948 |
| Practice Telephone | 3185131112 |
| Mailing Telephone | 3185131112 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. KEVIN C GAMBLE (MANAGING MEMBER) |
| Authorized Official Telephone | 3187982648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| Street Address |
1503 GOODWIN RD SUITE 101 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275818965 | Serenity Hospice Home, Inc | Hospice, Inpatient | 72 King Richard Rd, Dry Prong, LA 71423-8705 | 2011-10-13 |
| 1356644702 | Paramount Hospice North LLC | Hospice, Inpatient | 813 Pine St, West Monroe, LA 71291-4046 | 2010-12-07 |
| 1275632762 | Canon Hospice LLC | Hospice, Inpatient | 13702 Coursey Blvd Ste 6a, Baton Rouge, LA 70817-1370 | 2006-09-21 |
| 1225079643 | Gamble Hospice Care Northwest, LLC | Hospice, Inpatient | 8950 E Kings Hwy, Shreveport, LA 71115 | 2006-06-09 |
| 1871563320 | Christus Continuing Care | Hospice, Inpatient | 4801 Jackson Street Ext, Suite B, Alexandria, LA 71303-2508 | 2006-01-26 |
| 1568699171 | Christus Continuing Care | Hospice, Inpatient | 1700 Buckner St, Suite 200, Shreveport, LA 71101-4452 | 2009-06-22 |
| 1912081217 | Community Care Hospice LLC | Hospice, Inpatient | 1007 W Thomas St, Suite A, Hammond, LA 70401-3062 | 2006-10-24 |
| 1598864084 | Canon Health Care LLC-tlhc | Hospice, Inpatient | 1221 S Clearview Pkwy, 4th Fl, Jefferson, LA 70121-1011 | 2006-09-21 |
| 1811923634 | Christus Health Northern Louisiana | Hospice, Inpatient | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.