Organization Active NPI

Abundant Life Home Health Agency,LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1609523604
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABUNDANT LIFE HOME HEALTH AGENCY,LLC
Practice address
5331 Primrose Lake Cir
125
Tampa, FL 33647
Phone
(727) 286-8916
Fax
(727) 724-1201
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Traci Brissett, RN
Title
Director of Nursing
Phone
(727) 286-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5331 Primrose Lake Cir
125
Tampa, FL 33647

Mailing address

5331 Primrose Lake Cir
125
Tampa, FL 33647-3597
Phone (727) 286-8916

Other identifiers 2

IdentifierTypeStateIssuer
111860500MedicaidFL
299994461OtherFLAHCA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.alhha.com Abundant Life Home Health Agency,LLC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2107257Abundant Life Home Health Agency LLC5331 Primrose Lake Circle Suite 125, Tampa, FL 33647Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Abundant Life Home Health Agencyllc2 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.

Locations

5331 Primrose Lake Cir
Ste 125
Tampa, FL 33647
Phone (727) 286-8916

6601 Memorial Hwy
Ste 106
Tampa, FL 33615
Phone (727) 286-8916

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1609523604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 PRIMROSE LAKE CIR",
            "address_2": "125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473597",
            "telephone_number": "727-286-8916",
            "fax_number": "727-724-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PRIMROSE LAKE CIR",
            "address_2": "125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "727-286-8916",
            "fax_number": "727-724-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOME HEALTH AGENCY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "BRISSETT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "727-286-8916",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111860500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "299994461",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.alhha.com",
            "affiliation": "Y",
            "affiliationName": "Abundant Life Home Health Agency,LLC",
            "address_1": "28050 US Highway 19 N Ste 205",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.