Abundant Love Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABUNDANT LOVE HOMECARE LLC

Practice address

99 Monroe Ave NW Ste 200
Grand Rapids, MI 49503-2639

Phone

(616) 221-0406

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Keshia Jackson

Title

Ceo

Phone

(616) 221-0406

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1003686015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MONROE AVE NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MONROE AVE NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032639",
            "telephone_number": "616-221-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LOVE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-221-0406"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Abreo, MD
• Loanna Abreu Perez, MA, LLP
• Maria Katrina Abril, M.D.
• Farah Abu Dhais, MD
• Khalid Mohammed Abulaban, M.D.
• Camille Joy Reynante Abutin, MD
• Dominic Ondieki Abuya, FNP-BC
• Abyride LLC
• Academic Surgical Associates, PLLC
• Academy of Vision Development, PLLC

• Home Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.