Healthcare Provider Details

I. General information

NPI: 1013756485
Provider Name (Legal Business Name): ABUNDANT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 NW 31ST AVE STE B
FORT LAUDERDALE FL
33311-5018
US

IV. Provider business mailing address

1200 BRICKELL AVE STE 1950107
MIAMI FL
33131-3214
US

V. Phone/Fax

Practice location:
  • Phone: 954-868-0741
  • Fax:
Mailing address:
  • Phone: 954-216-4418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANEKA ELLIS-MOSLEY
Title or Position: CEO
Credential:
Phone: 954-487-0612