Provider Demographics
NPI:1891550950
Name:ABUNDANT CHOICE HOME HEALTHCARE CDS LLC
Entity Type:Organization
Organization Name:ABUNDANT CHOICE HOME HEALTHCARE CDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-659-6621
Mailing Address - Street 1:2410 STIRRUP LN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-2339
Mailing Address - Country:US
Mailing Address - Phone:314-659-6621
Mailing Address - Fax:
Practice Address - Street 1:7733 FORSYTH BLVD STE 1135
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-1817
Practice Address - Country:US
Practice Address - Phone:314-201-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health