Active NPI
Abundant Life Home Health Agency,LLC
- Home Health Agency
- Tampa, FL
National Provider Identifier
1609523604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111860500 | Medicaid | FL | |
| 299994461 | Other | FL | AHCA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.alhha.com | Abundant Life Home Health Agency,LLC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2107257 | Abundant Life Home Health Agency LLC | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Abundant Life Home Health Agencyllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Tampa, FL
- NPI 1205076155
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.