Healthcare Provider Details

I. General information

NPI: 1386532356
Provider Name (Legal Business Name): GRASPING ABUNDANT LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 EMERSON DR NW
PALM BAY FL
32907-7859
US

IV. Provider business mailing address

182 EMERSON DR NW
PALM BAY FL
32907-7859
US

V. Phone/Fax

Practice location:
  • Phone: 786-389-9356
  • Fax:
Mailing address:
  • Phone: 786-389-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA NOEL
Title or Position: OWNER
Credential:
Phone: 786-389-9356