Healthcare Provider Details

I. General information

NPI: 1003955006
Provider Name (Legal Business Name): ABUNDANT CARE TRANSPORTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3926 BASELINE RD.
LITTLE ROCK AR
72209-5408
US

IV. Provider business mailing address

3926 BASELINE RD.
LITTLE ROCK AR
72209-5408
US

V. Phone/Fax

Practice location:
  • Phone: 501-565-6993
  • Fax: 501-565-2766
Mailing address:
  • Phone: 501-565-6993
  • Fax: 501-565-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateAR

VIII. Authorized Official

Name: MRS. BERNICE L. SMITH
Title or Position: OWNER MANAGER
Credential:
Phone: 501-517-1092