NPI 1336901263 · live from the CMS NPI Registry
Abundance Of Grace Home Care
In Home Supportive Care in Shreveport, LA. National Provider Identifier 1336901263, active.
NPI record
| NPI | 1336901263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 717 Crockett St, Shreveport, LA 71101 |
| Practice phone | 318-252-8839 |
| Mailing address | 4001 Belmont St, Shreveport, LA 71108 |
| Enumerated | January 25, 2024 |
| Last updated | May 20, 2026 |
| Authorized official | Geneva Smith, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| Home Health | 251E00000X | — |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Substance Abuse Rehabilitation Facility | 324500000X | — |
| Hospice, Inpatient | 315D00000X | — |
| Respite Care | 385H00000X | — |
| Clinic/Center, Recovery Care | 261QR0800X | — |
| Respite Care, Respite Care, Physical Disabilities, Child | 385HR2065X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.