ABUNDANT LIFE AGENCY, INC. (NPI# 1992903736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992903736 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE AGENCY, INC. |
| Practice Address |
827 Clarkson Ave Brooklyn NY 11203-2256 |
| Practice Telephone | 7187357151 |
| Mailing Telephone | 7187357151 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. OLIVE ARCHER (C.E.O.) |
| Authorized Official Telephone | 7187357151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 9108L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01254957 | 05 |
| Street Address |
827 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710158 | Gail Angela Terry Dey | Licensed Practical Nurse | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2013-01-18 |
| 1467705368 | Viola Pamela Corbett | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-10-17 |
| 1871846782 | Alica Odessa Armstrong-hall | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-10-17 |
| 1295087971 | Beth Brice | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-10-05 |
| 1972853489 | Cardia Hall | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-09-12 |
| 1407104953 | Elaine Nelson | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-08-15 |
| 1073869459 | Abundant Life Agency | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-08-03 |
| 1245586791 | Annette David | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-08-01 |
| 1932455763 | Mercedes Ellis | Health Educator | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-07-30 |
| 1285980201 | Josephine Uzoamaka Aguoji | Early Intervention Provider Agency | 827 Clarkson Ave, Brooklyn, NY 11203-2256 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| 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] |
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| 1205462280 | Harris Homecare LLC | Home Health | 6779 Memphis Ave Ste 5, Brooklyn, OH 44144-2218 | 2020-03-21 |
| 1992338099 | Asset Homecare Inc | Home Health | 1097 Liberty Ave, Brooklyn, NY 11208-2945 | 2020-02-17 |
| 1912539180 | Caresense Health LLC | Home Health | 147 Front St Ste 17, Brooklyn, NY 11201-1154 | 2020-02-06 |
| 1114557931 | Prospect Acquisition IIi LLC | Home Health | 1000 Gates Ave Ste 4a, Brooklyn, NY 11221-6296 | 2020-01-21 |
| Find all providers in BROOKLYN | ||||
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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.