Healthcare Provider Details

I. General information

NPI: 1013899327
Provider Name (Legal Business Name): ABUNDANT HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 W GREENS RD STE 503
HOUSTON TX
77067-4502
US

IV. Provider business mailing address

396 W GREENS RD STE 503
HOUSTON TX
77067-4502
US

V. Phone/Fax

Practice location:
  • Phone: 313-647-7147
  • Fax:
Mailing address:
  • Phone: 313-647-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ALIYAH SMALL
Title or Position: CEO
Credential:
Phone: 313-647-7147