Provider Demographics
NPI:1518326388
Name:ABUNDANT HOME CARE LLC
Entity Type:Organization
Organization Name:ABUNDANT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-637-8419
Mailing Address - Street 1:4968 EUCLID RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5833
Mailing Address - Country:US
Mailing Address - Phone:757-497-0200
Mailing Address - Fax:
Practice Address - Street 1:4968 EUCLID RD
Practice Address - Street 2:SUITE J
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5833
Practice Address - Country:US
Practice Address - Phone:757-497-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health