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ABUNDANT LIVING AT PETERSONS INC
NPI 1407369408
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pittsburgh, PA

Active since November 13, 2017
3884 EAST ST, PITTSBURGH, PA 15214(412) 231-7866 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2017, Nov 13, 2017 (2 updates tracked since 2017).

About Abundant Living At Petersons Inc NPPES

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

ABUNDANT LIVING AT PETERSONS INC (NPI 1407369408) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pittsburgh, Pennsylvania and active in the NPI registry since November 2017. The organization lists Kenneth Peterson, Ceo Cfo, as its authorized official.

NPPES Registry Identity

NPI1407369408
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameABUNDANT LIVING AT PETERSONS INC
Location Address3884 EAST STPittsburgh, PA 15214-2029
Mailing Address3884 East StPittsburgh, PA 15214-2029
Phone(412) 231-7866
Organization SubpartNo
Authorized OfficialKenneth PetersonCeo Cfo · (412) 231-7866
Enumeration DateNovember 13, 2017
Last NPPES UpdateNovember 22, 20172 updates tracked since enumeration
✔ NPI 1407369408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in PA · CER-00114910
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedLicensed Practical NurseTaxonomy 164W00000X
3884 EAST ST, Pittsburgh, PA 15214
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

YVONNE PETERSON
Licensed Practical Nurse
3884 EAST ST
PITTSBURGH, PA 15214
Allegheny County (412) 231-7866

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 Living At Petersons Inc's NPI number?

The NPI number for Abundant Living At Petersons Inc is 1407369408. It was assigned to this organization in the NPPES registry on November 13, 2017.

Where is Abundant Living At Petersons Inc located?

Abundant Living At Petersons Inc is located at 3884 East St, Pittsburgh, PA 15214. The listed phone number is (412) 231-7866.

What is Abundant Living At Petersons Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Abundant Living At Petersons Inc was last updated on November 22, 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.