Abundant Life Adult Day Program LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ABUNDANT LIFE ADULT DAY PROGRAM LLC

Practice address

19115 W 7 Mile Rd
Detroit, MI 48219-2706

Phone

(469) 478-9247

NPI assigned

May 15, 2013

Last updated

Nov 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devon Jackson

Title

President/Ceo

Phone

(469) 478-9247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1225474489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192706",
            "telephone_number": "469-478-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192706",
            "telephone_number": "469-478-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE ADULT DAY PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "469-478-9247"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundance of Grace Homecare
• Abundance of Love LLC
• Abundant Care Wellness Solutions, LLC
• Abundant Community Recovery Services
• Abundant Home Care Services, LLC
• Abundant Lifeskills Community Service
• Abundant Lifeskills Community Service (Abundant Life Community Services)
• Abundant Living Staffing Agency LLC
• Abundantly Full of Love
• Razan Nabeel Mousa Aburumman, MD

• Adult Day Care Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.