Provider Demographics
NPI:1194024430
Name:ABUNDANCE PRIVATE CARE, INC.
Entity Type:Organization
Organization Name:ABUNDANCE PRIVATE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-638-9582
Mailing Address - Street 1:6001 REIMS RD APT 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3015
Mailing Address - Country:US
Mailing Address - Phone:281-888-0276
Mailing Address - Fax:281-888-0276
Practice Address - Street 1:2600 S LOOP W STE 295
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2668
Practice Address - Country:US
Practice Address - Phone:281-888-0276
Practice Address - Fax:281-888-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric