Abundance Care and Wellness, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ABUNDANCE CARE AND WELLNESS, LLC

Practice address

5101 Washington St Ste 1115
Gurnee, IL 60031-2988

Phone

(224) 326-0298

NPI assigned

May 20, 2022

Last updated

May 20, 2022By 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

Carolee Bedward, RN

Title

Owner

Phone

(224) 572-0827

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1578201406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PRINCETON CT",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600858656",
            "telephone_number": "224-572-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST STE 1115",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312988",
            "telephone_number": "224-326-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE CARE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "BEDWARD",
        "authorized_official_first_name": "CAROLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-572-0827",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@abundancern.com",
            "affiliation": "N",
            "address_1": "5101 Washington St Ste 1115",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600312988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Gurnee, IL
• Providers in Gurnee, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.