Abundant Life Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABUNDANT LIFE ASSISTED LIVING LLC

Practice address

1201 W 75TH St
Los Angeles, CA 90044-2405

Phone

(310) 926-7574

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By 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

Quianna StreetNPI 1871378661

Title

Licensee

Phone

(310) 696-9555

Specialties & licenses 1

Addresses

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.

• Quianna Street

  • Case Management Agency
  • Southfield, MI
  • NPI 1871378661
  NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1003762014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 ARCHIBALD AVE # 543",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015017",
            "telephone_number": "310-926-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 75TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442405",
            "telephone_number": "310-926-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "QUIANNA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-696-9555"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Abucasis, AUD
• Kathleen Mae Delos Reyes Abueva, RDHAP
• Ahmed Y. M. Abuhamad
• Marwa B Abulhasan, DMD, MS, MMM
• Abundance Psychotherapy Center Inc (Abundance Therapy Center)
• Abundant Life Therapy: a Professional Clinical Counselor Corporation
• Maximiliano Abundez Toledo
• Michelle Sarahi Abundis
• Adriana Aburto
• Teisha Marlene Aburto

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.