Abundant Life Center Intensive in-Home Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABUNDANT LIFE CENTER INTENSIVE IN-HOME SERVICES

Practice address

2602 Whitehouse Rd
Colonial Heights, VA 23834-5398

Phone

(804) 651-7972

Fax

(804) 530-0195

NPI assigned

Aug 9, 2009

Last updated

Aug 9, 2009By 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

Mr. Rodney Mark Williams

Title

Member

Phone

(804) 651-7972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249776000000",
    "number": "1629200662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 PLEASANT CREEK CT",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238346841",
            "telephone_number": "804-651-7972",
            "fax_number": "804-530-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WHITEHOUSE RD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345398",
            "telephone_number": "804-651-7972",
            "fax_number": "804-530-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE CENTER INTENSIVE IN-HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-09",
        "last_updated": "2009-08-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-651-7972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A & J Home Health LLC
• A Wright Pond DDS LTD
• Jeryl A Abbott-Kohn, DDS
• Lonia Faith Abbott, M.D.
• Nevine Aboualim
• Richard Acevedo, PHYSICIAN ASSISTANT
• Ryan David Ackerman, PHARMD
• Dion Agada, MOT, OTR/L
• Irshad Ahmed, MD
• Mustafa Al-Gburi

• Community/Behavioral Health Agency in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2009; 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.