Provider Demographics
NPI:1558724658
Name:ABUNDANT HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ABUNDANT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-744-9796
Mailing Address - Street 1:7801 SAILORS LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-9607
Mailing Address - Country:US
Mailing Address - Phone:317-744-9776
Mailing Address - Fax:317-455-9373
Practice Address - Street 1:7801 SAILORS LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-9607
Practice Address - Country:US
Practice Address - Phone:317-744-9776
Practice Address - Fax:317-455-9373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service