Provider Demographics
NPI:1386508182
Name:ABUNDANCE OF HOME CARE LLC
Entity type:Organization
Organization Name:ABUNDANCE OF HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-789-8989
Mailing Address - Street 1:138 W MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2490
Mailing Address - Country:US
Mailing Address - Phone:252-789-8989
Mailing Address - Fax:252-789-8989
Practice Address - Street 1:138 W MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2490
Practice Address - Country:US
Practice Address - Phone:252-789-8989
Practice Address - Fax:252-789-8989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABUNDANCE OF HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-15
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty