NPI 1124996814 · live from the CMS NPI Registry
Abundance Of Grace Homecare
Home Health in Detroit, MI. National Provider Identifier 1124996814, active.
NPI record
| NPI | 1124996814 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 400 Renaissance Ctr, Detroit, MI 48243 |
| Practice phone | 318-252-8839 |
| Mailing address | 717 Crockett St, Shreveport, LA 71101 |
| Enumerated | October 25, 2025 |
| Last updated | January 14, 2026 |
| Authorized official | Geneva Smith, Owner/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Respite Care | 385H00000X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.