Active NPI
Abundant Home Health, LLC
- Home Health Agency
- Yuma, AZ
National Provider Identifier
1679094098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ABUNDANT HOME HEALTH, LLC
- Practice address
- 1332 W 17TH St
Yuma, AZ 85364-5308 - Phone
- (747) 477-2019
- NPI assigned
- Jul 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Michael Barry III
- Title
- Owner
- Phone
- (747) 477-2019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1332 W 17TH St
Yuma, AZ 85364-5308
Mailing address
2222 S 4TH Ave Unit 5502
Yuma, AZ 85366-3558
Phone (747) 477-2019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266778 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
2222 S 4th Ave
Unit 5502
Yuma, AZ 85366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499299200000",
"number": "1679094098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 4TH AVE UNIT 5502",
"city": "YUMA",
"state": "AZ",
"postal_code": "853663558",
"telephone_number": "747-477-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 W 17TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853645308",
"telephone_number": "747-477-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-06",
"last_updated": "2017-07-06",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "747-477-2019",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266778",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.