Abundance of Care Healthcare Staffing Agency LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ABUNDANCE OF CARE HEALTHCARE STAFFING AGENCY LLC

Practice address

Oakbrook Pointe 700 Commerce Drive Suite 500
Oakbrook, IL 60523

Phone

(630) 229-5210

Fax

(630) 288-4601

NPI assigned

Jan 24, 2022

Last updated

Feb 23, 2022By 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

Ms. Tynaya N Gray, LPNNPI 1639822489

Title

Owner

Phone

(773) 354-3386

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tynaya N Gray, LPN

  • Licensed Practical Nurse
  • Oak Brook, IL
  • NPI 1639822489
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1609528447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OAKBROOK POINTE 700 COMMERCE DRIVE SUITE 500",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-229-5210",
            "fax_number": "630-288-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OAKBROOK POINTE 700 COMMERCE DRIVE SUITE 500",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-229-5210",
            "fax_number": "630-288-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE OF CARE HEALTHCARE STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TYNAYA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-354-3386",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.