Abundant Life Home Health Services
Organization Active NPI Home Health Agency · Philadelphia, PA
NPI 1639571920 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1639571920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 4202634 (PA)
- Legal business name
- ABUNDANT LIFE HOME HEALTH SERVICES
- Practice address
- 458 E Walnut LN
Philadelphia, PA 19144-1054 - Phone
- (267) 622-3195
- NPI assigned
- Sep 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory David Bellevue, MBA
- Title
- Ceo
- Phone
- (267) 622-3195
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Abundant Life Home Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4202634 | PA | Yes |
Addresses
Primary practice location
458 E Walnut LN
Philadelphia, PA 19144-1054
Mailing address
458 E Walnut LN
Philadelphia, PA 19144-1054
Phone (267) 622-3195
Other providers in Philadelphia, PA
- John Abulu
- Abundant Comfort Care
- Abundant Home Health Services
- Abundant Life Home Health Services
- Abundant Life Home Health Services
- Abundant Living & Wellness Partners
- Abundant Living Home Care LLC
- Abundant Solutions Company
- Abundantly Rich Medical Supply LLC
- Nana Aburjania
All providers in Philadelphia, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.