Abundant Life Nursing and Supportive Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

RN9281220 Issued in FL

Legal business name

ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC

Practice address

1617 E Alfred St
Tavares, FL 32778-3535

Phone

(352) 459-1245

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By 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

Patricia Fran AllenNPI 1649650839

Title

President

Phone

(352) 459-1245

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Abundant Life Nursing and Supportive Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Abundant Life Nursing and Supportive Services, LLC

  • Home Health Agency
  • Tavares, FL
  • NPI 1316304991
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Allen

  • Registered Nurse
  • Mount Dora, FL
  • NPI 1649650839
  NPD (past) Authorized official

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1336529080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783535",
            "telephone_number": "352-459-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783535",
            "telephone_number": "352-459-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "FRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-459-1245"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9281220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008118000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aaa Referral & Home Health Corp.
• Sarah Jean Abed Lima
• Malena Abreu Sintes, BCBA
• Abundant Life Nursing and Supportive Services, LLC
• Aji Valayil Achuthan, ARNP
• Daljenny Lorraine Acosta, PT, DPT
• Sara Renee Aderholdt, LCSW
• Adult Counseling & Psychotherapy of Lake County, LLC

• Nursing Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.