Organization Active NPI

Abundant Home Health, LLC

  • Home Health Agency
  • Yuma, AZ
National Provider Identifier
1679094098
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 6, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
266778MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.