Organization · NPI-2

Abundant Home Care Agency LLC

Home Health · Winston Salem, NC

NPI number1205317443
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1205317443
Entity type
Organization (NPI-2)
Legal business name
Abundant Home Care Agency LLC
Organization subpart
No
Enumeration date
Aug 26, 2018
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–NCYes
253Z00000X In Home Supportive Care––

Practice location

1880 Cahill Dr
Winston Salem, NC 27127-8827

Phone 336-448-9989

Mailing address

1880 Cahill Dr
Winston Salem, NC 27127-8827

Phone 336-448-9989

Authorized official

Jeneria D Shepherd
Owner
3364489989

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