ABUNDANT LIFE NURSING SERVICES INC. (NPI# 1346589470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346589470 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE NURSING SERVICES INC. |
| Practice Address |
8608 Bramble Ln Ste. T2 Randallstown MD 21133-5152 |
| Mailing Address |
Po Box 32572 Pikesville MD 21282-2572 |
| Practice Telephone | 4432727731 |
| Practice Fax Number | 4432727756 |
| Mailing Telephone | 4432727731 |
| Mailing Fax Number | 4432727756 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | BASIL FOMANKA (PRESIDENT/TREASURER) |
| Authorized Official Telephone | 4435208138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
8608 BRAMBLE LN STE. T2 |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808447 | Gracious Weah | Home Health | 8603 Gray Fox Rd Apt 203, Randallstown, MD 21133-5145 | 2019-12-11 |
| 1154980043 | Wellpoint Nursing Services,inc. | Home Health | 4126 Windmill Cir Ste 1, Randallstown, MD 21133-4441 | 2019-06-13 |
| 1417325564 | Monica Agbonkhese | Home Health | 30 Bannock Ct, Randallstown, MD 21133-1726 | 2015-09-07 |
| 1538567904 | Lifeline Healthcare Services, LLC | Home Health | 3504 Seapines Cir, Randallstown, MD 21133-2445 | 2014-12-16 |
| 1992126932 | Infinity Health Care Services LLC | Home Health | 8611 Lugano Road, Randallstown, MD 21133 | 2013-12-18 |
| 1013269356 | Michael Healthcare Services LLC | Home Health | 3726 Pikeswood Dr, Randallstown, MD 21133-2718 | 2012-10-10 |
| 1528353794 | Adonai Healthcare Services, Inc | Home Health | 9216 Liberty Rd, Randallstown, MD 21133-3544 | 2011-06-15 |
| 1134352909 | Abundant Grace Health Care Inc. | Home Health | 8629 Liberty Rd, Suite D, Randallstown, MD 21133-4713 | 2009-08-27 |
| 1386873222 | Total Access | Home Health | 9330 Tulsemere Rd, Randallstown, MD 21133-2832 | 2009-07-14 |
| 1982858494 | Care One Personalized Nursing Services | Home Health | 3506 Kings Point Road, Randallstown, MD 21133 | 2008-11-11 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.