Abundance of Life, Adult Day Center

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

ABUNDANCE OF LIFE, ADULT DAY CENTER

Practice address

6900 Bowman Roberts Rd
Fort Worth, TX 76179-3386

Phone

(305) 363-9635

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Christina Reid

Title

Director

Phone

(305) 363-9635

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1083329643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BIG SANDY LN",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462919",
            "telephone_number": "305-363-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BOWMAN ROBERTS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793386",
            "telephone_number": "305-363-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE OF LIFE, ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-363-9635"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abundancelifecenter@gmail.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Big Sandy Ln",
            "city": "Lancaster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751462919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ahmed Abu Samake
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• Rosemary A Abu-Shair, L.P.T.
• Amir Abuchaei, DO
• Abundant Enteprise LLC
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• Abundant Life Wellness Center
• Mohammad Yousef Abusammour
• Noor Abushagur, OD

• Day Training/Habilitation Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Day Training/Habilitation Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.