Healthcare Provider Details

I. General information

NPI: 1710857545
Provider Name (Legal Business Name): ABUNDANT HOPE DEVELOPMENT SUPPORTS NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 BUENA VISTA RD
SUFFERN NY
10901-1730
US

IV. Provider business mailing address

22 BUENA VISTA RD
SUFFERN NY
10901-1730
US

V. Phone/Fax

Practice location:
  • Phone: 718-501-7376
  • Fax:
Mailing address:
  • Phone: 718-501-7376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: YUDAH JUNGER
Title or Position: OWNER
Credential:
Phone: 718-501-7376