Abundant Residential Living Services Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABUNDANT RESIDENTIAL LIVING SERVICES INC

Practice address

1691 Joe Silva Ave
Atwater, CA 95301-9114

Phone

(888) 747-0845

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jesssica Johnson

Title

Owner

Phone

(209) 430-1688

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Johnson

  • Driver
  • Atwater, CA
  • NPI 1659035988
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1972215028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 JOE SILVA AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019114",
            "telephone_number": "888-747-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 JOE SILVA AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019114",
            "telephone_number": "888-747-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT RESIDENTIAL LIVING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-430-1688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atwater, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.