ABUNDANT ENTEPRISE LLC (NPI# 1922640010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922640010 |
| Entity Type | Organization |
| Organization Name | ABUNDANT ENTEPRISE LLC |
| Practice Address |
5545 Lawnsberry Dr Fort Worth TX 76137-4390 |
| Practice Telephone | 2144931212 |
| Mailing Telephone | 2144931212 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | DR. ADEOLA O JAIYEOLA (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2144931212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5545 LAWNSBERRY DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559422 | Cmac Counseling, Pllc | Community/Behavioral Health | 2100 N Main St Ste 20b, Fort Worth, TX 76164-8572 | 2020-05-11 |
| 1477191385 | Canary Ridge Counseling Pllc | Community/Behavioral Health | 2501 Parkview Dr Ste 316e, Fort Worth, TX 76102-5824 | 2019-12-11 |
| 1790347060 | Serenity Professional Counseling, Pllc | Community/Behavioral Health | 1701 River Run Ste 1020, Fort Worth, TX 76107-6556 | 2019-07-08 |
| 1326512039 | Creative Insight Counseling | Community/Behavioral Health | 3309 Winthrop Ave Ste 76, Fort Worth, TX 76116-5600 | 2019-01-15 |
| 1659882686 | A Beautiful Future, LLC | Community/Behavioral Health | 2721 Bilglade Rd, Fort Worth, TX 76133-1613 | 2017-10-17 |
| 1417480112 | Magrin Gifted Hands Services, LLC | Community/Behavioral Health | 11805 Indian Pony Way, Fort Worth, TX 76244-5298 | 2017-04-10 |
| 1720528524 | Tlc | Community/Behavioral Health | 8425 Hornbeam Dr, Fort Worth, TX 76123-5047 | 2017-02-28 |
| 1306381827 | Irma Mireles | Community/Behavioral Health | 9624 Mariner Cir, Apt 1206, Fort Worth, TX 76179-3210 | 2016-12-20 |
| 1760934145 | Cancer Care Services | Community/Behavioral Health | 623 S Henderson St, Fort Worth, TX 76104-2920 | 2016-11-01 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
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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.