Active NPI
Abundant Grace Care, LLC
- Personal Care Attendant
- Houston, TX
National Provider Identifier
1720705395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- ABUNDANT GRACE CARE, LLC
- Practice address
- 2450 Louisiana St # 400-608
Houston, TX 77006-2380 - Phone
- (504) 544-4545
- NPI assigned
- Oct 25, 2022
- 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
- Dana Bickham
- Title
- Ceo
- Phone
- (504) 544-4545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 3747P1801X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2450 Louisiana St # 400-608
Houston, TX 77006-2380
Mailing address
3003 Memorial CT Apt 1416
Houston, TX 77007-5990
Phone (504) 544-4545
National Provider Directory
National Provider DirectoryLocations
2450 Louisiana St
#400608
Houston, TX 77006
Phone (504) 544-4545
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712448000000",
"number": "1720705395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 MEMORIAL CT APT 1416",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075990",
"telephone_number": "504-544-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 LOUISIANA ST # 400-608",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770062380",
"telephone_number": "504-544-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT GRACE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A",
"authorized_official_last_name": "BICKHAM",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-544-4545"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.