NPIMap

Organization Active NPI

Abundant Living LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1689846800
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
ACH-073 Issued in AZ
Legal business name
ABUNDANT LIVING LLC
Practice address
4336 E Vineyard Rd
Phoenix, AZ 85042-5240
Phone
(602) 390-5818
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Chekela Turner
Title
Owner/Manager
Phone
(602) 390-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X ACH-073 AZ Primary

Addresses

Primary practice location

4336 E Vineyard Rd
Phoenix, AZ 85042-5240

Mailing address

4336 E Vineyard Rd
Phoenix, AZ 85042-5240
Phone (602) 390-5818

National Provider Directory

National Provider Directory
Tax ID family
Abundant Living LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1689846800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 E VINEYARD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425240",
            "telephone_number": "602-390-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 E VINEYARD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425240",
            "telephone_number": "602-390-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "CHEKELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-390-5818"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "ACH-073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.