MEDICARE: ABUNDANT HOME HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency	009124	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	H0HH541H01	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1164522975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUNDANT HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	2233 AVENUE J STE 107
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5884
Country	:	US
Telephone Number	:	817-633-3152
Fax Number	:	817-394-2587

Provider Business Practice Location Address
First Line	:	2233 AVENUE J STE 107
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5884
Country	:	US
Telephone Number	:	817-633-3152
Fax Number	:	817-394-2587

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	MR. JAMES L SANTIAGO
Credential	:
Telephone Number	:	694-556-5955

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	05/22/2026

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