Organization Active NPI

Abundant Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harvey, LA
National Provider Identifier
1588023402
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ABUNDANT HEALTH, INC.
Practice address
1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582
Phone
(504) 708-1738
Fax
(504) 603-2662
NPI assigned
Feb 19, 2016
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Mrs. Patrice Allen
Title
Ceo
Phone
(504) 708-1738

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X LA

Addresses

Primary practice location

1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582

Mailing address

1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582
Phone (504) 708-1738

Other identifiers 1

IdentifierTypeStateIssuer
1265748693MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Abundant Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1588023402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD",
            "address_2": "BUILDING F, SUITE 204",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-708-1738",
            "fax_number": "504-603-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD",
            "address_2": "BUILDING F, SUITE 204",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-708-1738",
            "fax_number": "504-603-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-708-1738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265748693",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.