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General NPI Number Information
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NPI Number | 1609530328
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIVING HOME CARE
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 827 SMITH ST
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City | MARTINSVILLE
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State | VA
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Zip | 24112-2411
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Country | US
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Telephone | 276-403-2653
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Fax |
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Provider Business Mailing Address
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Address Line | 860 SOUTHLAND DR
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City | MARTINSVILLE
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State | VA
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Zip | 24112-5921
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Country | US
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Telephone | 276-403-2653
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. KAKILA SHERRIE TAYLOR
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Credential | OWNER
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Telephone | 276-403-2653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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