Organization Active NPI

Abundant Life Home Health Services, Inc

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1134563257
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RS3406P Issued in MD
Legal business name
ABUNDANT LIFE HOME HEALTH SERVICES, INC
Practice address
5712 Harford Rd
Baltimore, MD 21214-2235
Phone
(410) 917-9433
NPI assigned
Apr 19, 2013
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Bosede Daniyan
Title
Executive Director
Phone
(410) 917-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RS3406P MD Primary

Addresses

Primary practice location

5712 Harford Rd
Baltimore, MD 21214-2235

Mailing address

5712 Hardford Rd
Baltimore, MD 21214
Phone (410) 917-9433

National Provider Directory

National Provider Directory

Locations

5712 Harford Rd
Baltimore, MD 21214
Phone (410) 917-9433

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1134563257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 HARDFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "410-917-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142235",
            "telephone_number": "410-917-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "DANIYAN",
        "authorized_official_first_name": "BOSEDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-917-9433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "RS3406P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.