Organization · NPI-2

Abundance Of Grace Home Care

In Home Supportive Care · Shreveport, LA

NPI number1336901263

StatusActive

Last updated in NPPESMay 20, 2026

Details

NPI: 1336901263
Entity type: Organization (NPI-2)
Legal business name: Abundance Of Grace Home Care
Organization subpart: No
Enumeration date: Jan 25, 2024
Certification date: May 20, 2026
Last updated: May 20, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
261QA0600X	Clinic/Center, Adult Day Care	–	–
251E00000X	Home Health	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–
315D00000X	Hospice, Inpatient	–	–
385H00000X	Respite Care	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–
385HR2065X	Respite Care, Respite Care, Physical Disabilities, Child	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–

Practice location

717 Crockett St
Shreveport, LA 71101-3605

Phone 318-252-8839 · Fax 318-252-8840

Mailing address

4001 Belmont St
Shreveport, LA 71108-2301

Authorized official

Geneva Victoria Smith
Owner
3189467986

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