Abundantly Blessed LLL

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ABUNDANTLY BLESSED LLL

Doing business as

Abundantly Blessed lll

Practice address

6650 Rivers Ave
North Charleston, SC 29406-4809

Phone

(843) 268-8364

Fax

(843) 268-8372

NPI assigned

Nov 21, 2024

Last updated

Nov 21, 2024By 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

Mrs. Ladonna D Shaw-Wragg

Title

Owner

Phone

(215) 906-0911

Specialties & licenses 1

Addresses

Other names 1

• Abundantly Blessed lll Doing business as

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1598580730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153236",
            "telephone_number": "215-375-3939",
            "fax_number": "215-475-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064809",
            "telephone_number": "843-268-8364",
            "fax_number": "843-268-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANTLY BLESSED LLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SHAW-WRAGG",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-906-0911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundantly Blessed lll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.