Healthcare Provider Details

I. General information

NPI: 1710802806
Provider Name (Legal Business Name): ABUNDANCE QUALITY HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2703 W SEMINOLE ST
SPRINGFIELD MO
65807-3231
US

IV. Provider business mailing address

2703 W SEMINOLE ST APT B
SPRINGFIELD MO
65807-3209
US

V. Phone/Fax

Practice location:
  • Phone: 217-652-8457
  • Fax:
Mailing address:
  • Phone: 217-652-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. TENEKWA BLAIR
Title or Position: OWNER
Credential: NURSE AID
Phone: 217-652-8457