ABUNDANT LIFE SENIOR CARE LLC (NPI# 1063061778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063061778 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE SENIOR CARE LLC |
| Practice Address |
15606 Brunswick Manor Florissant MO 63034 |
| Mailing Address |
Po Box 866 Florissant MO 63032 |
| Practice Telephone | 3147098663 |
| Mailing Telephone | 3147098663 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | JAMICA NELSON (OWNER) |
| Authorized Official Telephone | 3147098663 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABUNDANT LIFE SENIOR CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH1000X |
Registered Nurse Specialization: Hospice |
Nursing Service Providers |
| Street Address |
15606 BRUNSWICK MANOR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| 1679747364 | Marilyn La-vern Thompson | Social Worker | 14972 Afshari Circle, Florissant, MO 63034 | 2008-04-15 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 163WH1000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hospice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063663086 | Kay Summers | Registered Nurse | 219 Dale Ct, Ballwin, MO 63011-3005 | 2008-10-08 |
| 1417129743 | Carla Ann Albright | Registered Nurse | 4200 E 135th St, Grandview, MO 64030-2875 | 2008-03-26 |
| 1043203201 | Twin Lakes Hospice Inc. | Registered Nurse | 725 E Ohio St, Clinton, MO 64735 | 2005-08-23 |
| 1023645116 | Christina Marrie Craven | Registered Nurse | 9 Tiffany Lynn Ct, Wentzville, MO 63385-3257 | 2020-03-26 |
| 1104878529 | Maria A Ferrell | Registered Nurse | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2006-05-16 |
| City | FLORISSANT |
| Zip Code | 63034 |
Please comment or provide details below to improve the information on ABUNDANT LIFE SENIOR CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.