Active NPI
Abundance of Life Healthcare LLC
- In Home Supportive Care Agency
- Katy, TX
National Provider Identifier
1164310942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ABUNDANCE OF LIFE HEALTHCARE LLC
- Practice address
- 19118 Broadwind LN
Katy, TX 77449-5264 - Phone
- (225) 377-9121
- NPI assigned
- Jun 27, 2025
- Last updated
- Jun 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keoshia Jackson-Green
- Title
- Owner
- Phone
- (225) 377-9121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
19118 Broadwind LN
Katy, TX 77449-5264
Mailing address
19118 Broadwind LN
Katy, TX 77449-5264
Phone (225) 377-9121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1164310942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19118 BROADWIND LN",
"city": "KATY",
"state": "TX",
"postal_code": "774495264",
"telephone_number": "225-377-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19118 BROADWIND LN",
"city": "KATY",
"state": "TX",
"postal_code": "774495264",
"telephone_number": "225-377-9121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANCE OF LIFE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "JACKSON-GREEN",
"authorized_official_first_name": "KEOSHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-377-9121"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
- Michael Abreu, RN
- Yoenna Abreu, MSN,RN,FNP-BC
- Absolute Adolescent Program
- Ghazala M Abuazza, MD
- Riad Hassan Abul-Khoudoud, DMD
- Abundant Hospice and Palliative Care Inc
- Mohammed A Abunemer
- Patricia Aburime, LPC
- Abx Med Health Services LLC
- Access Community Living Services Inc (Access Community Living Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.