Abundant Living Care Llc

LBN: Abundant Living Care Llc
Abundant Living Care Llc is an health care organization with primary practice located at 11431 N Port Washington Rd Ste 290, Mequon WI 53092-3462. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Abundant Living Care Llc can be contacted via phone (262) 834-6212, or through Bohanon, Kiondra N via phone (262) 834-6212.

Contact Information

Primary practice address
11431 N Port Washington Rd Ste 290 Mequon WI 53092-3462
Phone: (262) 834-6212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bohanon, Kiondra N
Phone: (262) 834-6212

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1023549458
LBN Legal business name Abundant Living Care Llc
DBA Doing business as
Authorized official Bohanon, Kiondra N
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Mar 27th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023549458 NPPES
Wisconsin MEDICAID 100062989

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