Abundant Life Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABUNDANT LIFE HOME CARE INC.

Practice address

1905 Woods Dr Ste 223
Beavercreek, OH 45432-2240

Phone

(937) 380-3903

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By 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

Ms. Kara M Martin-Prevost

Title

Ceo

Phone

(937) 380-3903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1760761977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WOODS DR STE 223",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322240",
            "telephone_number": "937-380-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WOODS DR STE 223",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322240",
            "telephone_number": "937-380-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN-PREVOST",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-380-3903",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.