Abundant Care LLC

Organization Active NPI In Home Supportive Care Agency · Memphis, TN

NPI 1710285010 · NPPES record last updated Dec 18, 2025

Key facts

NPI
1710285010
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
1000000008243 (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
Organization subpart
No

Authorized official

Name
Jessica Yvette Mickey
Title
President
Phone
(901) 820-0701

National Provider Directory

Locations

5200 Park Ave
Ste 102
Memphis, TN 38119
Phone (901) 333-0330

5118 Park Ave
Ste 245
Memphis, TN 38117

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000000008243 TN Yes

Addresses

Primary practice location

5200 Park Ave Ste 102
Memphis, TN 38119-3505

Mailing address

5200 Park Ave Ste 102
Memphis, TN 38119-3505
Phone (901) 820-0701

Other identifiers

IdentifierTypeStateIssuer
H445529MedicaidTN

Other providers in Memphis, TN

All providers in Memphis, TN · In Home Supportive Care Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.