ABUNDANT LIFE HEALTH CENTER LLC
NPI 1003328022
Chiropractor in St. Johns, FL

Active since October 31, 2017
254 EVEREST LANE, ST. JOHNS, FL 32259(904) 862-2662 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abundant Life Health Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT LIFE HEALTH CENTER LLC (NPI 1003328022) is a healthcare organization registered as a chiropractor in St. Johns, Florida and active in the NPI registry since October 2017. The organization lists Vassil I Valov, Owner, as its authorized official.

NPPES Registry Identity

NPI1003328022
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameABUNDANT LIFE HEALTH CENTER LLC
Location Address254 EVEREST LANESt. Johns, FL 32259
Mailing Address56 Canary Palm CtPonte Vedra, FL 32081-6100 · (904) 862-2662
Organization SubpartNo
Authorized OfficialVassil I ValovOwner · (904) 862-2662
Enumeration DateOctober 31, 2017
✔ NPI 1003328022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH12184
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
254 EVEREST LANE, St. Johns, FL 32259

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abundant Life Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Abundant Life Health Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104856129
254 EVEREST LN
St Johns, FL 32259
(904) 862-2662
0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Life Health Center LLC's NPI number?

The NPI number for Abundant Life Health Center LLC is 1003328022. It was assigned to this organization in the NPPES registry on October 31, 2017.

Where is Abundant Life Health Center LLC located?

Abundant Life Health Center LLC is located at 254 Everest Lane, St. Johns, FL 32259. The listed phone number is (904) 862-2662.

What is Abundant Life Health Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Abundant Life Health Center LLC enrolled in Medicare?

Yes. Abundant Life Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abundant Life Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Abundant Life Health Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Abundant Life Health Center LLC was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.