Organization · NPI-2

Abundance Of Life Case Management, LLC

Case Management · Baton Rouge, LA

NPI number1407706690

StatusActive

Last updated in NPPESJun 22, 2026

Details

NPI: 1407706690
Entity type: Organization (NPI-2)
Legal business name: Abundance Of Life Case Management, LLC
Organization subpart: No
Enumeration date: Jan 29, 2026
Certification date: Jun 22, 2026
Last updated: Jun 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251B00000X	Case Management	–	–	Yes
332BX2000X	Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	–	–
347B00000X	Bus	–	–
347C00000X	Private Vehicle	–	–
347E00000X	Transportation Broker	–	–
343800000X	Secured Medical Transport (VAN)	–	–
172A00000X	Driver	–	–
174200000X	Meals	–	–

Practice location

9121 Interline Ave Ste 9b
Baton Rouge, LA 70809-1973

Phone 225-330-2059 · Fax 225-612-6725

Mailing address

9121 Interline Ave Ste 9b
Baton Rouge, LA 70809-1973

Phone 225-330-2059 · Fax 225-612-6725

Other practice locations

19118 Broadwind Ln
Katy, TX 77449-5264

Phone 504-475-4388 · Fax 225-612-6725

Authorized official

Keoshia Monique Jackson-Green
Owner
2253779121

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