Provider Demographics
NPI:1649769324
Name:ABUNDANCE COMPANION & HOME CARE
Entity Type:Organization
Organization Name:ABUNDANCE COMPANION & HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASTACIA
Authorized Official - Middle Name:SHONTRELL
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-834-3445
Mailing Address - Street 1:2622 TAMPICO DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2844
Mailing Address - Country:US
Mailing Address - Phone:513-834-3445
Mailing Address - Fax:
Practice Address - Street 1:2622 TAMPICO DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2844
Practice Address - Country:US
Practice Address - Phone:513-834-3445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care