NPIMap

Organization Active NPI

Abundant Life Home Health Services

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1306270681
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ABUNDANT LIFE HOME HEALTH SERVICES
Practice address
458 E Walnut LN
Philadelphia, PA 19144-1054
Phone
(267) 257-4431
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Gregory Bellevue, B.S
Title
Chief Executive Officer
Phone
(267) 257-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PA Primary

Addresses

Primary practice location

458 E Walnut LN
Philadelphia, PA 19144-1054

Mailing address

458 E Walnut LN
Philadelphia, PA 19144-1054
Phone (267) 257-4431

National Provider Directory

National Provider Directory
Tax ID family
Abundant Life Home Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1306270681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 E WALNUT LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441054",
            "telephone_number": "267-257-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 E WALNUT LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441054",
            "telephone_number": "267-257-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLEVUE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "267-257-4431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.