Healthcare Provider Details

I. General information

NPI: 1972375442
Provider Name (Legal Business Name): ABUNDANT HOME WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 NW 72ND ST STE 378
WARR ACRES OK
73132-5931
US

IV. Provider business mailing address

5601 NW 72ND ST STE 378
WARR ACRES OK
73132-5931
US

V. Phone/Fax

Practice location:
  • Phone: 405-594-8160
  • Fax: 405-338-7044
Mailing address:
  • Phone: 405-594-8160
  • Fax: 405-338-7044

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: REGINA MARIE BIRDSONG
Title or Position: CEO
Credential:
Phone: 140-543-8930