Organization Active NPI

Abundant Living Foundation, Inc.

  • Community Health Worker
  • Canton, GA
National Provider Identifier
1013775048
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
ABUNDANT LIVING FOUNDATION, INC.
Practice address
1558 Marietta Hwy Ste 200
Canton, GA 30114-3615
Phone
(914) 275-1477
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Evelynmarie Sabrinah Dorce, PHDNPI 1649744947
Title
Founder and Executive Director
Phone
(404) 282-8292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1558 Marietta Hwy Ste 200
Canton, GA 30114-3615

Mailing address

1558 Marietta Hwy Ste 200
Canton, GA 30114-3615
Phone (914) 275-1477

National Provider Directory

National Provider Directory
Tax ID family
Abundant Living Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1013775048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 MARIETTA HWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143615",
            "telephone_number": "914-275-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 MARIETTA HWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143615",
            "telephone_number": "914-275-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DORCE",
        "authorized_official_first_name": "EVELYNMARIE",
        "authorized_official_middle_name": "SABRINAH",
        "authorized_official_title_or_position": "FOUNDER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-282-8292",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.