NPIMap

Organization Active NPI

Abundant Home Care Agency LLC

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1205317443
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABUNDANT HOME CARE AGENCY LLC
Practice address
1880 Cahill Dr
Winston Salem, NC 27127-8827
Phone
(336) 448-9989
NPI assigned
Aug 26, 2018
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mrs. Jeneria D Shepherd
Title
Owner
Phone
(336) 448-9989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NC Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1880 Cahill Dr
Winston Salem, NC 27127-8827

Mailing address

1880 Cahill Dr
Winston Salem, NC 27127-8827
Phone (336) 448-9989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1205317443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CAHILL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278827",
            "telephone_number": "336-448-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 CAHILL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278827",
            "telephone_number": "336-448-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-26",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENERIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-448-9989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.