Abundant Life Assisted Seravices Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

060-R-0501 Issued in GA

Legal business name

ABUNDANT LIFE ASSISTED SERAVICES INC

Doing business as

N/a

Practice address

10800 Alpharetta Hwy
Suite 208- 713
Roswell, GA 30076-1490

Phone

(678) 319-0307

Fax

(678) 319-0307

NPI assigned

Feb 8, 2012

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

N/AAs reported in NPPES

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

Authorized official

Name

Ms. Rebecca M Aidoo I, CNA

Title

Administrator

Phone

(678) 319-0307

Specialties & licenses 1

Addresses

Other names 1

• N/A Doing business as

Part of

Abundant Life Assisted Services Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• N/a

  • Behavior Technician
  • Monroe, GA
  • NPI 1609715713
  NPPES parent name

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1598037426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY",
            "address_2": "SUITE 208- 713",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764621",
            "telephone_number": "678-319-0307",
            "fax_number": "678-319-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY",
            "address_2": "SUITE 208- 713",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761490",
            "telephone_number": "678-319-0307",
            "fax_number": "678-319-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE ASSISTED SERAVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "AIDOO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-319-0307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "060-R-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acceptance & Change, Inc.
• Acerose LLC (Visiting Angels of Roswell)
• Anne Elizabeth Ackermann, D.C.

• Adult Care Home Facility in Roswell, GA
• Providers in Roswell, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.