Organization · NPI-2

Abundance Of Life Healthcare LLC

In Home Supportive Care · Katy, TX

NPI number1164310942
StatusActive
Last updated in NPPESJun 27, 2025

Details

NPI
1164310942
Entity type
Organization (NPI-2)
Legal business name
Abundance Of Life Healthcare LLC
Organization subpart
No
Enumeration date
Jun 27, 2025
Certification date
Jun 27, 2025
Last updated
Jun 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
343900000X Non-emergency Medical Transport (VAN)––

Practice location

19118 Broadwind Ln
Katy, TX 77449-5264

Phone 225-377-9121

Mailing address

19118 Broadwind Ln
Katy, TX 77449-5264

Phone 225-377-9121

Authorized official

Keoshia Jackson-Green
Owner
2253779121

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