Organization Active NPI

Abundance of Life Healthcare LLC

  • In Home Supportive Care Agency
  • Katy, TX
National Provider Identifier
1164310942
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.