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ABUNDANT LIFE ASSISTED LIVING LLC
NPI 1003762014
Assisted Living Facility in Los Angeles, CA

Active since March 10, 2026
1201 W 75TH ST, LOS ANGELES, CA 90044(310) 926-7574 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abundant Life Assisted Living Llc NPPES

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

ABUNDANT LIFE ASSISTED LIVING LLC (NPI 1003762014) is a healthcare organization registered as an assisted living facility in Los Angeles, California and active in the NPI registry since March 2026. The organization lists Quianna Street, Licensee, as its authorized official.

NPPES Registry Identity

NPI1003762014
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameABUNDANT LIFE ASSISTED LIVING LLC
Location Address1201 W 75TH STLos Angeles, CA 90044-2405
Mailing Address7252 Archibald Ave # 543Rancho Cucamonga, CA 91701-5017 · (310) 926-7574
Phone(310) 926-7574
Organization SubpartNo
Authorized OfficialQuianna StreetLicensee · (310) 696-9555
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1003762014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1201 W 75TH ST, Los Angeles, CA 90044
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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 Assisted Living LLC's NPI number?

The NPI number for Abundant Life Assisted Living LLC is 1003762014. It was assigned to this organization in the NPPES registry on March 10, 2026.

Where is Abundant Life Assisted Living LLC located?

Abundant Life Assisted Living LLC is located at 1201 W 75th St, Los Angeles, CA 90044. The listed phone number is (310) 926-7574.

What is Abundant Life Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Abundant Life Assisted Living LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.