Abundant Life Agency, Inc.
Organization Active NPI Home Health Agency · Brooklyn, NY
NPI 1992903736 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992903736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 9108L001 (NY)
- Legal business name
- ABUNDANT LIFE AGENCY, INC.
- Practice address
- 827 Clarkson Ave
Brooklyn, NY 11203-2256 - Phone
- (718) 735-7151
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Olive Archer
- Title
- C.E.O.
- Phone
- (718) 735-7151
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Abundant Life Agency
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 9108L001 | NY | Yes |
Addresses
Primary practice location
827 Clarkson Ave
Brooklyn, NY 11203-2256
Mailing address
827 Clarkson Ave
Brooklyn, NY 11203-2256
Phone (718) 735-7151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01254957 | Medicaid | NY |
Other providers in Brooklyn, NY
- Sabina Abulkhayrova
- Hend Abulsayen
- Abundant Life Agency
- Abundant Life Agency
- Abundant Life Agency
- Munira Abuoraq
- Samia Aburawi
- Wakas Abusabe
- Olga Abuseridze
- Victor Abuseridze
All providers in Brooklyn, NY · Home Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.