ABUNDANT LIFE HOSPICE, LLC. (NPI# 1902057862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902057862 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE HOSPICE, LLC. |
| Other Organization Name | ABUNDANT LIFE HOSPICE |
| Practice Address |
2612 Campbell Ave Lynchburg VA 24501-4302 |
| Practice Telephone | 4348450191 |
| Practice Fax Number | 4343860606 |
| Mailing Telephone | 4348450191 |
| Mailing Fax Number | 4343860606 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | MRS. KELLY FRANCES NELSON (OWNER) |
| Authorized Official Telephone | 4348450191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0001185060 | VA | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 0001185060 | VA | Nursing & Custodial Care Facilities |
| Y | 315D00000X | Hospice, Inpatient | 0001185060 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ABUNDANT LIFE HOSPICE | Doing Business As Name - Organization |
| Street Address |
2612 CAMPBELL AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635192 | Mountain States Health Alliance | Hospice, Inpatient | 312 Cummings St Ste B, Abingdon, VA 24210-3200 | 2018-07-05 |
| 1073989836 | Bartee's Consultation Services | Hospice, Inpatient | 6615 W James Anderson Hwy, Gladstone, VA 24553-3518 | 2015-08-17 |
| 1205133089 | Life Cycle Services Inc. | Hospice, Inpatient | 904 Audubon Cir, Chesapeake, VA 23320-0663 | 2011-02-14 |
| 1831418656 | Angel Nursing Homecare, Inc. | Hospice, Inpatient | 9508 Claychin Ct, Burke, VA 22015-4187 | 2010-05-18 |
| 1194787226 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Hospice, Inpatient | 8580 Magellan Pkwy, Bldg Iv, Richmond, VA 23227-1149 | 2006-04-04 |
| 1154568954 | Bath County Community Hospital | Hospice, Inpatient | 106 Park Drive, Hot Springs, VA 24445 | 2009-01-15 |
| 1871507426 | Wellmont Health System | Hospice, Inpatient | 988 W Main St, Abingdon, VA 24210 | 2006-07-28 |
| 1568485894 | Capital Hospice | Hospice, Inpatient | 2900 Telestar Ct, Falls Church, VA 22042-1206 | 2006-07-26 |
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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.