Organization Active NPI

Abundant Life Home Support, LLC

  • Home Health Agency
  • Concord, NC
National Provider Identifier
1669338307
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABUNDANT LIFE HOME SUPPORT, LLC
Practice address
57 Union St S Ste 127
Concord, NC 28025-5266
Phone
(919) 902-3066
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marcianna Lawson, RN
Title
Owner
Phone
(919) 902-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

57 Union St S Ste 127
Concord, NC 28025-5266

Mailing address

1309 Waldridge CT
Greensboro, NC 27406-8780
Phone (919) 902-3066

National Provider Directory

National Provider Directory

Locations

57 Union St S
Ste 127
Concord, NC 28025
Phone (919) 902-3066

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1669338307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 WALDRIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068780",
            "telephone_number": "919-902-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION ST S STE 127",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255266",
            "telephone_number": "919-902-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOME SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MARCIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-902-3066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.