Healthcare Provider Details

I. General information

NPI: 1720998495
Provider Name (Legal Business Name): ABUNDANCE OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 JAMESTOWN CT
EDGEWOOD MD
21040-2206
US

IV. Provider business mailing address

503 JAMESTOWN CT
EDGEWOOD MD
21040-2206
US

V. Phone/Fax

Practice location:
  • Phone: 443-740-4477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: PATRICE BOYKIN
Title or Position: CEO
Credential:
Phone: 443-740-4477