ABUNDANT LIFE HOME HEALTH AGENCY,LLC
NPI 1205076155
Home Health in Tampa, FL

Q: What is Abundant Life Home Health Agency,llc's NPI number?

The NPI number for Abundant Life Home Health Agency,llc is 1205076155. It was assigned to this organization in the NPPES registry on March 4, 2009.

Q: What is Abundant Life Home Health Agency,llc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since March 04, 2009CLIA Certified · 2 labs

6601 MEMORIAL HWY STE 106, TAMPA, FL 33615(727) 286-8916(727) 724-1201 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2023, Mar 9, 2022, Mar 4, 2022 (3 updates tracked since 2022).

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About Abundant Life Home Health Agency,llc NPPES

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

ABUNDANT LIFE HOME HEALTH AGENCY,LLC (NPI 1205076155) is a healthcare organization registered as a home health in Tampa, Florida and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Traci S Brissett, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1205076155

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameABUNDANT LIFE HOME HEALTH AGENCY,LLC

Location Address6601 MEMORIAL HWY STE 106Tampa, FL 33615-4501

Mailing Address28050 Us Highway 19 N Ste 205Clearwater, FL 33761-2627 · (727) 286-8916 · Fax (727) 724-1201

Phone(727) 286-8916

Fax(727) 724-1201

Organization SubpartNo

Authorized OfficialTraci S BrissettDirector Of Nursing · (727) 286-8916

Enumeration DateMarch 4, 2009

Last NPPES UpdateMay 10, 20233 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1205076155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in FL · 299993080

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

6601 MEMORIAL HWY STE 106, Tampa, FL 33615

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Secondary Practice Locations 2

Location 128050 US Highway 19 N, SUITE 205Clearwater, FL 33761-2634 · Phone (727) 286-8916 · Fax (727) 724-1201

Location 228050 US Highway 19 N Ste 205Clearwater, FL 33761-2627 · Phone (727) 286-8916 · Fax (727) 724-1201

Other Identifiers 3

Medicaid111860500FL

Medicaid68-3133FL

Other299994461FL · Ahca License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2069328

Abundant Life Home Health Agency LLC · Clearwater, FL

Active · expires Nov 20, 2027

CLIA Number10D2069328

Laboratory TypeHome Health Agency

Certificate Effective DateNovember 21, 2025

Certificate Expiration DateNovember 20, 2027

Laboratory DirectorTraci Brissett

Laboratory Phone(727) 286-8916

Laboratory LocationAbundant Life Home Health Agency LLC28050 Us Hwy 19 N Ste 205, Clearwater, FL 33761

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2107257

Abundant Life Home Health Agency LLC · Tampa, FL

Active · expires Jan 10, 2028

CLIA Number10D2107257

Laboratory TypeHome Health Agency

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorTraci Brissett

Laboratory Phone(727) 286-8916

Laboratory LocationAbundant Life Home Health Agency LLC5331 Primrose Lake Circle Suite 125, Tampa, FL 33647

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Abundant Life Home Health Agency LLC (CMS certification number 683133), from CMS Care Compare.

Abundant Life Home Health Agency LLC

Home health agency · Clearwater, FL

OwnershipNonProfit

CMS Certification Number683133

Medicare-Certified SinceFebruary 10, 2014

Services Offered

Skilled nursing care Home health aide services

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN MONTALVO ALFONSO

Behavior Technician

6601 MEMORIAL HWY STE 106
TAMPA, FL 33615

Hillsborough County (813) 328-0441

RAQUEL IZAGUIRRE FUENTES RBT

Behavior Technician

6601 MEMORIAL HWY STE 106
TAMPA, FL 33615

Hillsborough County (813) 749-0766

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 Home Health Agency,llc's NPI number?

The NPI number for Abundant Life Home Health Agency,llc is 1205076155. It was assigned to this organization in the NPPES registry on March 4, 2009.

Where is Abundant Life Home Health Agency,llc located?

Abundant Life Home Health Agency,llc is located at 6601 Memorial Hwy Ste 106, Tampa, FL 33615. The listed phone number is (727) 286-8916.

What is Abundant Life Home Health Agency,llc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Abundant Life Home Health Agency,llc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Abundant Life Home Health Agency,llc a Medicare-certified home health agency?

Yes. Abundant Life Home Health Agency LLC is a Medicare-certified home health agency, certified since February 10, 2014.

What insurance does Abundant Life Home Health Agency,llc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Abundant Life Home Health Agency,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abundant Life Home Health Agency,llc was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.