Organization Active NPI

Abundance Care Residential Assisted Living

  • Assisted Living Facility
  • Bowie, MD
National Provider Identifier
1265252811
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABUNDANCE CARE RESIDENTIAL ASSISTED LIVING
Practice address
12619 Kavanaugh LN
Bowie, MD 20715-2816
Phone
(301) 262-1657
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Valerie Lucas
Title
Owner/Manager
Phone
(703) 861-0982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12619 Kavanaugh LN
Bowie, MD 20715-2816

Mailing address

1210 S Glebe Rd Unit 40592
Arlington, VA 22204-0283
Phone (703) 861-0982

National Provider Directory

National Provider Directory

Locations

1210 S Glebe Rd
Unit 40592
Arlington, VA 22204

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1265252811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S GLEBE RD UNIT 40592",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222040283",
            "telephone_number": "703-861-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 KAVANAUGH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152816",
            "telephone_number": "301-262-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE CARE RESIDENTIAL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-861-0982"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.