Abundant Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1000000008243 Issued in TN

Legal business name

ABUNDANT CARE LLC

Practice address

5200 Park Ave Ste 102
Memphis, TN 38119-3505

Phone

(901) 820-0701

Fax

(901) 820-0709

NPI assigned

Mar 10, 2011

Last updated

Dec 18, 2025By 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

Jessica Yvette Mickey

Title

President

Phone

(901) 820-0701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1710285010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193505",
            "telephone_number": "901-820-0701",
            "fax_number": "901-820-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193505",
            "telephone_number": "901-820-0701",
            "fax_number": "901-820-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-820-0701"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000008243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445529",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisreen Awni Daoud Abu Al Hommos, M.D.
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• Abdullah I Abuelouf, CRNA
• Abundance Transportation
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• Abundant Faith Home Care
• Abundant Living Inc
• Iman Abutineh, MD
• Mohammad I Abutineh, M.D.
• Ac Dental of Tennessee, PLC

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.