Abundant Life Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ABUNDANT LIFE HOSPICE, INC.

Practice address

250 S Pleasantburg Dr Ste 126
Greenville, SC 29607-2522

Phone

(864) 370-9707

Fax

(864) 370-9706

NPI assigned

Jan 31, 2007

Last updated

Apr 28, 2008By 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

Tisha K Fry, RN

Title

President

Phone

(803) 807-8440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1508903592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CANTERFIELD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121202",
            "telephone_number": "803-807-8440",
            "fax_number": "803-477-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S PLEASANTBURG DR STE 126",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072522",
            "telephone_number": "864-370-9707",
            "fax_number": "864-370-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-807-8440",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Community Based Hospice Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.