ABUNDANT LIFE (NPI# 1750550323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750550323 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE |
| Practice Address |
4720 Us Highway 220 Bus N B Asheboro NC 27203-3367 |
| Mailing Address |
Po Box 441 Randleman NC 27317-0441 |
| Practice Telephone | 3364950671 |
| Practice Fax Number | 3364953204 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | SARWARII L DRAKE (CEO) |
| Authorized Official Telephone | 3364950671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ABUNDANT LIFE A.G | 207 E Main St, Enterprise, OR 97828 |
| Oregon Corporations, Companies and Business Names | ABUNDANT LIFE ADULT FOSTER CARE HOME | 12845 Sw Katherine St, Tigard, OR 97223 |
| Colorado Business Entities | Abundant Life Aquaponics, L.L.C. | 521 Scott Blvd. #204, Castle Rock, CO 80104 |
| Washington State Corporations | ABUNDANT LIFE ASSEMBLY OF GOD OF BASIN CITY | 500 Bailie Blvd, Mesa, WA 99343-9511 |
| Iowa Business Entities | ABUNDANT LIFE ASSEMBLY OF GOD, FREDONIA, IOWA | 10525 Buena Vista Ct, Urbandale, IA 50322 |
| Colorado Business Entities | Abundant Life Assisted Living LLC | 1473 Rosemary Dr., Castle Rock, CO 80109 |
| Oregon Corporations, Companies and Business Names | ABUNDANT LIFE CENTER | Po Box 149, Jefferson, OR 97352 |
| Oregon Corporations, Companies and Business Names | ABUNDANT LIFE CENTER - TOLEDO ASSEMBLY OF GOD | 1154 Nw A St, Toledo, OR 97391 |
| Colorado Business Entities | Abundant Life Center Church of God | 2430 East Niagara Rd., Montrose, CO 81401 |
| Iowa Business Entities | ABUNDANT LIFE CHAPEL | 202 Fairview St., Po Box 79, Dows, IA 50071 |
| Street Address |
4720 US HIGHWAY 220 BUS N B |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790965 | Daymark Recovery Services Inc | Community/Behavioral Health | 110 W Walker Ave Fl 1, Asheboro, NC 27203-6760 | 2018-12-05 |
| 1659798411 | Advanced Health Resources | Community/Behavioral Health | 1342 Nc Highway 42 S, Asheboro, NC 27205-7933 | 2014-03-18 |
| 1154769404 | Monarch | Community/Behavioral Health | 214 N Elm St, Asheboro, NC 27203-5556 | 2013-06-10 |
| 1013289537 | Reaching Your Goals | Community/Behavioral Health | 801 Martin Luther King Jr Dr, Ste C, Asheboro, NC 27203-4947 | 2012-01-30 |
| 1164792636 | Serenity Counseling & Resource Center | Community/Behavioral Health | 1211 North Fayetteville Street, Asheboro, NC 27203-6407 | 2011-12-30 |
| 1801176250 | Asg Services LLC | Community/Behavioral Health | 126 Scarboro St, Asheboro, NC 27203-5742 | 2011-08-17 |
| 1407152895 | Community Helps Network LLC | Community/Behavioral Health | 1307 N Fayetteville St, Asheboro, NC 27203-3919 | 2011-02-01 |
| 1386952547 | Community Resource Solutions, LLC | Community/Behavioral Health | 220 Foust St Ste C, Asheboro, NC 27203-5586 | 2010-09-21 |
| 1851628606 | Morning Star Rehabilitative Services, Inc. | Community/Behavioral Health | 560 W Walker Ave, Asheboro, NC 27203-6253 | 2009-11-14 |
| 1730316563 | Monarch | Community/Behavioral Health | 933 E Salisbury St, Asheboro, NC 27203-5049 | 2009-06-19 |
| Find all providers in ASHEBORO | ||||
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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.