ABUNDANT GRACE SENIOR CARE, LLC (NPI# 1457950776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457950776 |
| Entity Type | Organization |
| Organization Name | ABUNDANT GRACE SENIOR CARE, LLC |
| Practice Address |
3830 W Agua Fria Dr Golden Valley AZ 86413-9309 |
| Mailing Address |
10650 Reagan St Unit 1531 Los Alamitos CA 90720-8882 |
| Practice Telephone | 5622752888 |
| Mailing Telephone | 5622752888 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MR. ROBERT LEE WARE (DIRECTOR) |
| Authorized Official Telephone | 5622752888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
3830 W AGUA FRIA DR |
| City | GOLDEN VALLEY |
| State | AZ |
| Zip Code | 86413-9309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
| 1356626063 | Erin Reiman | Registered Nurse | 3404 Santa Maria, Black Mountain Elementary, Golden Valley, AZ 86413 | 2011-10-13 |
| 1689716987 | John Randolph Scott | Dentist | 4626 W. English Dr., Az Dept. of Corrections - Kingman, Golden Valley, AZ 86413 | 2007-02-13 |
| 1972527836 | Charles R Lindsay | Family Medicine | 4263 Hwy 68, Ste C, Golden Valley, AZ 86413 | 2006-07-26 |
| 1073139572 | Alison Nichole Delk-peck | Specialist/Technologist | 4995 Us Highway 68, Golden Valley, AZ 86413-5500 | 2020-06-19 |
| 1922366947 | Living Waters Hospice LLC | Hospice Care, Community Based | 3711 Us Highway 68, Golden Valley, AZ 86413-7522 | 2012-04-27 |
| 1699830919 | Beulah K Kliment | Assisted Living Facility | 5080 Oatman Rd, Golden Valley, AZ 86413-7600 | 2006-12-27 |
| 1750526653 | Comprehensive Health Services | General Practice | 2675 W Oatman Rd, Golden Valley, AZ 86413-7701 | 2008-12-05 |
| 1699100552 | Elizabeth Gallion | Counselor | 4626 W English Dr, Golden Valley, AZ 86413-8238 | 2013-09-11 |
| 1558675496 | Valley Medical Medical Center LLC | Family Medicine | 4263 Hwy 68 Ste C, Golden Valley, AZ 86413-8569 | 2010-08-03 |
| Find all providers in zip 86413 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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|---|---|---|---|---|
| 1508480500 | One Step Beyond, Inc | Clinic/Center | 9299 W Olive Ave Ste 311, Peoria, AZ 85345-8381 | 2020-06-04 |
| 1184260366 | Mark Allan Young | Clinic/Center | 208 W Chandler Heights Rd Ste 102, Chandler, AZ 85248-5065 | 2019-11-21 |
| 1023673316 | Nsync Business Solutions, LLC | Clinic/Center | 2928 E Mobile Ln, Phoenix, AZ 85040-2742 | 2019-05-02 |
| 1053884452 | Mountain Care of Snowflake, LLC | Clinic/Center | 48 E 1st St S, Snowflake, AZ 85937-5336 | 2019-01-08 |
| 1497267892 | Catholic Community Services Yuma | Clinic/Center | 321 S 15th Ave, Yuma, AZ 85364-1939 | 2017-10-26 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1437687910 | Golden Times Care Center LLC | Clinic/Center | 11036 N 28th Dr Unit 111, Phoenix, AZ 85029-4305 | 2017-05-30 |
| 1982150884 | K & C Ventures LLC | Clinic/Center | 4013 E Broadway Rd, Phoenix, AZ 85040-8818 | 2016-08-30 |
| 1891142840 | Suntree Center LLC | Clinic/Center | 4120 N 20th St Ste H, Phoenix, AZ 85016-6022 | 2016-05-19 |
| 1144675307 | Sun City Area Interfaith Services, Inc | Clinic/Center | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-04-25 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 86413 |
Please comment or provide details below to improve the information on ABUNDANT GRACE 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.