Provider Demographics
NPI:1811439284
Name:ABUNDANCE HOME CARE
Entity type:Organization
Organization Name:ABUNDANCE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-395-0277
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:STE 117
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-395-0277
Mailing Address - Fax:248-395-0062
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:STE 117
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-395-0277
Practice Address - Fax:248-395-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health