ABUNDANT LIFE HEALTH CARE SERVICES, LLC (NPI# 1376187310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376187310 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE HEALTH CARE SERVICES, LLC |
| Practice Address |
2625 Line Ave Ste 106 Shreveport LA 71104-3043 |
| Practice Telephone | 3182333770 |
| Practice Fax Number | 3182333770 |
| Mailing Telephone | 3182333770 |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |
| Authorized Official Name | CHASIDY WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 3182333770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2625 LINE AVE STE 106 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722774 | Sdx Home Care Operations, LLC | In Home Supportive Care | 6039 Five Oaks Dr Ste A, Shreveport, LA 71129-2537 | 2020-05-27 |
| 1144785486 | Elite Concierge Care, LLC | In Home Supportive Care | 9051 Mansfield Rd Ste C3, Shreveport, LA 71118-2682 | 2019-01-31 |
| 1316401177 | Joice Ann Lister | In Home Supportive Care | 1934 Jackie Robinson Dr, Shreveport, LA 71107-6115 | 2019-01-25 |
| 1861982951 | C&c Sitting Agency LLC | In Home Supportive Care | 575 Williams Rd, Shreveport, LA 71106-8277 | 2018-05-14 |
| 1831694850 | Comfort Care Services LLC | In Home Supportive Care | 5860 S Lakeshore Dr Apt 21, Shreveport, LA 71119-3818 | 2018-03-30 |
| 1750895926 | Jacqueline Lynn Jackson | In Home Supportive Care | 1842 Murphy St, Shreveport, LA 71103-2919 | 2017-11-27 |
| 1538697693 | Youth and Family Services LLC | In Home Supportive Care | 106 E Kings Hwy Ste 101, Shreveport, LA 71104-3401 | 2017-06-01 |
| 1962937623 | Easterseals | In Home Supportive Care | 5411 Fairfax Ave, Shreveport, LA 71108-3342 | 2017-05-01 |
| 1306296330 | Makayla Dooley | In Home Supportive Care | 3918 Crosby St, Shreveport, LA 71109-7902 | 2016-06-21 |
| 1861866675 | Care Services of Northwest Louisiana, LLC. | In Home Supportive Care | 9310 Normandie Drive, Shreveport, LA 71118 | 2015-11-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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| 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.