Abudant Living Healthcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ABUDANT LIVING HEALTHCARE, LLC

Doing business as

Abundant Living Healthcare, LLC

Practice address

3151 Park Place Dr
Cape Girardeau, MO 63703-6378

Phone

(573) 579-4899

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By 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

Pamela J. Hiett, RN, RNFA

Title

RN, Program Director

Phone

(573) 579-4899

Specialties & licenses 3

Addresses

Other names 1

• Abundant Living Healthcare, LLC Doing business as

Electronic endpoints 1

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.

• Pam J Hiett

  • Registered Nurse First Assistant
  • Cape Girardeau, MO
  • NPI 1083934731
  NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1659989457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 PARK PLACE DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 PARK PLACE DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036378",
            "telephone_number": "573-579-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUDANT LIVING HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "HIETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "RN, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "573-579-4899",
        "authorized_official_credential": "RN, RNFA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alhealthcare01@gmail.com",
            "affiliation": "N",
            "address_1": "3151 Park Place Dr",
            "city": "Cape Girardeau",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637036378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abundant Living Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdul-Azeez Abdullahi, MD
• Brenda A Abernathy, RN
• Mechelle Abernathy, LPN
• Deanna Abner
• Karen M Abt, FNP
• Faith Hope Adams
• Justin Lee Adams, PHARM.D
• Madison May Adams
• Riley Russell Adams, M.D.
• Byron Lynn Aden

• In Home Supportive Care Agency in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.