NPI 1760249908 · live from the CMS NPI Registry
Abundance Health Care LLC
Home Health in Phoenix, AZ. National Provider Identifier 1760249908, active.
NPI record
| NPI | 1760249908 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 818 E Ardmore Rd, Phoenix, AZ 85042 |
| Practice phone | 480-479-1716 |
| Enumerated | March 4, 2024 |
| Last updated | March 4, 2024 |
| Authorized official | Jazmone Pennington, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care | 253Z00000X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Respite Care | 385H00000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.