Organization Active NPI

Abundance of Life Case Management, LLC

  • Case Management Agency
  • Baton Rouge, LA
National Provider Identifier
1407706690
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ABUNDANCE OF LIFE CASE MANAGEMENT, LLC
Practice address
9121 Interline Ave Ste 9B
Baton Rouge, LA 70809-1973
Phone
(225) 330-2059
Fax
(225) 612-6725
NPI assigned
Jan 29, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Keoshia Monique Jackson-GreenNPI 1568204915
Title
Owner
Phone
(225) 377-9121

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X NU
Case Management Agency 251B00000X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Secured Medical Transport (VAN) 343800000X NU
Bus 347B00000X NU
Private Vehicle 347C00000X NU
Transportation Broker 347E00000X NU
Meals Provider 174200000X NU

Addresses

Primary practice location

9121 Interline Ave Ste 9B
Baton Rouge, LA 70809-1973

Mailing address

9121 Interline Ave Ste 9B
Baton Rouge, LA 70809-1973
Phone (225) 330-2059

Other practice location 1

19118 Broadwind Ln
Katy, TX 77449-5264
Phone (504) 475-4388

National Provider Directory

National Provider Directory

Locations

9121 Interline Ave
Ste 9B
Baton Rouge, LA 70809
Phone (225) 330-2059

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1407706690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 INTERLINE AVE STE 9B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091973",
            "telephone_number": "225-330-2059",
            "fax_number": "225-612-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 INTERLINE AVE STE 9B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091973",
            "telephone_number": "225-330-2059",
            "fax_number": "225-612-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19118 Broadwind Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774495264",
            "country_code": "US",
            "telephone_number": "504-475-4388",
            "fax_number": "225-612-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABUNDANCE OF LIFE CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON-GREEN",
        "authorized_official_first_name": "KEOSHIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-377-9121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.