Abundant Hearts Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ABUNDANT HEARTS HOMECARE LLC

Practice address

2919 S Ellsworth Rd Ste 129
Mesa, AZ 85212-2167

Phone

(480) 771-5011

Fax

(480) 739-0933

NPI assigned

Dec 22, 2021

Last updated

Dec 22, 2021By 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. Nichole Hazuka, PA

Title

Ceo

Phone

(303) 704-7209

Specialties & licenses 1

Addresses

Other names 1

• Psalms 23 Inc. Former legal business name

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1609536358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122167",
            "telephone_number": "480-771-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122167",
            "telephone_number": "480-771-5011",
            "fax_number": "480-739-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEARTS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "HAZUKA",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-704-7209",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psalms 23 Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.