NPIMap

Organization Active NPI

Abundant Life Senior Services

  • Public Health or Welfare Agency
  • Shreveport, LA
National Provider Identifier
1275119802
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ABUNDANT LIFE SENIOR SERVICES
Practice address
533 Sally Ann Dr
Shreveport, LA 71106-6325
Phone
(318) 510-6565
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Ms. Sharday Parker, B.SNPI 1750803763
Title
Nursing Assistant
Phone
(318) 510-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

533 Sally Ann Dr
Shreveport, LA 71106-6325

Mailing address

533 Sally Ann Dr
Shreveport, LA 71106-6325
Phone (318) 510-6565

Other names 1

  • Abundant Life Senior Services Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL abundantblessingsmedical@gmail.com Other
Other URL abundantlifemedical@gmail.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1275119802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SALLY ANN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066325",
            "telephone_number": "318-510-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SALLY ANN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066325",
            "telephone_number": "318-510-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHARDAY",
        "authorized_official_title_or_position": "NURSING ASSISTANT",
        "authorized_official_telephone_number": "318-510-6565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abundantblessingsmedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Sitting Service",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Relocation Service",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Transportation Service",
            "address_1": "533 Sally Ann Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711066325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abundantlifemedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "House keeping Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Transportation Services",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Staffing Service",
            "address_1": "533 Sally Ann Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711066325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abundant Life Senior Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.