Abundant Living Supportive Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ABUNDANT LIVING SUPPORTIVE SERVICES

Practice address

223 Washington St
Brainerd, MN 56401-3336

Phone

(303) 487-7612

Fax

(303) 487-7612

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By 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

Ms. Bobbie Lee Debros

Title

Ceo

Phone

(303) 487-7612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1013215235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W 68TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305759",
            "telephone_number": "303-487-7612",
            "fax_number": "303-487-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013336",
            "telephone_number": "303-487-7612",
            "fax_number": "303-487-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "DEBROS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-487-7612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ellen Aarestad, MD
• Krystal Lea Aasen, M.ED.,LPCC, LPC, NCC
• Priscilla Agyemang Ababio, M.D
• Bradley Louis Adams, O.D.
• Danielle Catherine Addison, RN
• Adventures Within LLC
• Advocates for Reproductive Education
• Linda Marie Ahern, RPH

• In Home Supportive Care Agency in Brainerd, MN
• Providers in Brainerd, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.