ABUNDANT LIVING LLC (NPI# 1689846800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689846800 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIVING LLC |
| Practice Address |
4336 E Vineyard Rd Phoenix AZ 85042-5240 |
| Practice Telephone | 6023905818 |
| Mailing Telephone | 6023905818 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | CHEKELA TURNER (OWNER/MANAGER) |
| Authorized Official Telephone | 6023905818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
ACH-073 | AZ | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538331731 | Abundant Living LLC | Assisted Living Facility | 5222 E Tunder Cir, Phoenix, AZ 85044-2818 | 2008-03-27 |
| 1336311547 | Abundant Living LLC | Assisted Living Facility | 4341 E Woodland Dr, Phoenix, AZ 85048-8870 | 2008-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ABUNDANT LIVING LLC | 1542 Bishop Rd Sw, Tumwater, WA 98512 |
| Virginia Business Entities | Abundant Living LLC | 266 Wunder Street, Mt Jackson, Virginia 22842 |
| Street Address |
4336 E VINEYARD RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-5240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536752 | The Heritage Behavioral Health Home LLC | Assisted Living Facility | 3927 W Rovey Ave, Phoenix, AZ 85019-1633 | 2020-07-29 |
| 1801420476 | Holy Trinity Behavioral,llc | Assisted Living Facility | 1630 W Nancy Ln, Phoenix, AZ 85041-5540 | 2020-02-23 |
| 1184258758 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5308 W Vernon Ave, Phoenix, AZ 85035-1953 | 2020-02-23 |
| 1083261945 | D&g Behavioral Health LLC | Assisted Living Facility | 3119 N 46th Dr, Phoenix, AZ 85031-3705 | 2019-08-24 |
| 1881249902 | A Tender Hand Assisted Living Home, LLC, Dba | Assisted Living Facility | 6216 S 36th St, Phoenix, AZ 85042-4904 | 2019-08-06 |
| 1265098339 | Affinity of Hope Care Home | Assisted Living Facility | 7518 S 15th Dr, Phoenix, AZ 85041-6935 | 2019-05-14 |
| 1538625744 | N & T Behavioral Health LLC | Assisted Living Facility | 6150 W Cheery Lynn Rd, Phoenix, AZ 85033-5833 | 2019-02-12 |
| 1104381300 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5208 W Avalon Dr, Phoenix, AZ 85031-3958 | 2019-02-01 |
| 1225592025 | Royal Behavioral Health LLC | Assisted Living Facility | 3845 W Mauna Loa Ln, Phoenix, AZ 85053-4538 | 2019-01-25 |
| 1629580717 | Brenton Casteel | Assisted Living Facility | 4638 E Summerhaven Dr, Phoenix, AZ 85044-4820 | 2017-10-29 |
| Find all providers in PHOENIX | ||||
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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.