Abundant Living at Petersons Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

CER-00114910 Issued in PA

Legal business name

ABUNDANT LIVING AT PETERSONS INC

Practice address

3884 East St
Pittsburgh, PA 15214-2029

Phone

(412) 231-7866

NPI assigned

Nov 13, 2017

Last updated

Nov 22, 2017By 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

Kenneth Peterson

Title

Ceo Cfo

Phone

(412) 231-7866

Specialties & licenses 2

Addresses

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.

• Yvonne Peterson

  • Licensed Practical Nurse
  • Pittsburgh, PA
  • NPI 1871006999
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1407369408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 EAST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 EAST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142029",
            "telephone_number": "412-231-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING AT PETERSONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "412-231-7866"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "CER-00114910",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eman Abudaih
• Ezeldeen Abuelkasem
• Halima Abukabbos, DDS
• Ahlam Abukhdeir, PA
• Ibrahim Abukhiran, MD
• Abundant Living Health and Wellness Services
• Abundant Living Supports Coordination LLC
• Ruben Abunto
• Alyssa Taylor Aburachis, MD
• Anas Mohammad Abuseif, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.