Organization Active NPI

Abundance Home Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1760115216
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ABUNDANCE HOME CARE LLC
Practice address
319 N 4TH St Ste 604
Saint Louis, MO 63102-1907
Phone
(636) 633-6111
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Debra Gant
Title
Executive Director
Phone
(636) 633-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

319 N 4TH St Ste 604
Saint Louis, MO 63102-1907

Mailing address

319 N 4TH St Ste 604
Saint Louis, MO 63102-1907

National Provider Directory

National Provider Directory

Locations

319 N 4th St
Ste 604
Saint Louis, MO 63102
Phone (636) 633-6111

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1760115216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N 4TH ST STE 604",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N 4TH ST STE 604",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021907",
            "telephone_number": "636-633-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-633-6111"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.