Healthcare Provider Details

I. General information

NPI: 1821876194
Provider Name (Legal Business Name): ABOUND HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 X RAY DR STE 103
GASTONIA NC
28054-7488
US

IV. Provider business mailing address

1040 X RAY DR STE 103
GASTONIA NC
28054-7488
US

V. Phone/Fax

Practice location:
  • Phone: 704-879-7918
  • Fax: 704-803-8984
Mailing address:
  • Phone: 704-879-7918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DAVID CROSSLEY
Title or Position: CEO
Credential:
Phone: 248-298-6674