Love Abundantly Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LOVE ABUNDANTLY HOME CARE AGENCY LLC

Practice address

3637 Monticello Way
Heartland, TX 75126-2556

Phone

(469) 446-8002

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Valerie Boles

Title

Administrator

Phone

(469) 474-8743

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1447636725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MONTICELLO WAY",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751262556",
            "telephone_number": "469-446-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MONTICELLO WAY",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751262556",
            "telephone_number": "469-446-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE ABUNDANTLY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-474-8743"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "017209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Dianne Johnson, AGPCNP
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• Charles Karuga Kariuki, RN
• Jaelyn Kennedy
• Carrie Lynn Leafblad, MA, LPC
• Kevin McDermott, PSY.D.
• Henry Ogbeide
• Chekwube Martha Okoli, APRN
• Vivian Okonkwo
• Oladoja Deborah Olajide, PMHNP

• In Home Supportive Care Agency in Heartland, TX
• Providers in Heartland, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.