Abundant Life Total Wellness LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ABUNDANT LIFE TOTAL WELLNESS LLC

Practice address

4200 Regent St
Columbus, OH 43219-6229

Phone

(877) 868-8777

Fax

(740) 365-1105

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Sybil D Wise

Title

Founder

Phone

(614) 592-3010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1801669478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 COLTS NECK RD",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049649",
            "telephone_number": "614-592-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-868-8777",
            "fax_number": "740-365-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE TOTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "614-592-3010"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synenemaria Abukaram
• Amber Nicolle Abukwiek, APRN-CNP
• Sammy Suleiman Abukwiek, APRN-CNP
• Suada Abumaye
• Abundance of Love
• Rahaf Aburayyan
• Abubaker Mohamed Abuti
• Deana Abuzahrieh
• Abyan Home Care Inc
• Ac Home Health Care LLC

• Multi-Specialty Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

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

Verify at the official NPI Registry.