Healthcare Provider Details

I. General information

NPI: 1407783038
Provider Name (Legal Business Name): ABUNDANT GRACE SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 N HILLS AVE APT 1
GLENSIDE PA
19038-1522
US

IV. Provider business mailing address

77 N HILLS AVE APT 1
GLENSIDE PA
19038-1522
US

V. Phone/Fax

Practice location:
  • Phone: 267-780-4546
  • Fax:
Mailing address:
  • Phone: 267-780-4546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNA HUFF
Title or Position: CEO
Credential: HUFF
Phone: 267-780-4546