BOUNTIFUL LIFE
NPI 1407430572
In Home Supportive Care in Raleigh, NC

Active since May 05, 2021
1631 MIDTOWN PL STE 104-112, RALEIGH, NC 27609(919) 279-8551 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Oct 5, 2021, May 10, 2021 and 1 more (4 updates tracked since 2021).

About Bountiful Life NPPES

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

BOUNTIFUL LIFE (NPI 1407430572) is a healthcare organization registered as an in home supportive care in Raleigh, North Carolina and active in the NPI registry since May 2021. The organization maintains a secondary practice location in New Bern and lists Renee Jones, Program Director, as its authorized official.

NPPES Registry Identity

NPI1407430572
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameBOUNTIFUL LIFE
Location Address1631 MIDTOWN PL STE 104-112Raleigh, NC 27609-1300
Mailing Address1631 Midtown Pl Ste 104-112Raleigh, NC 27609-1300 · (919) 279-8551
Organization SubpartNo
Authorized OfficialRenee JonesProgram Director · (919) 279-8551
Enumeration DateMay 5, 2021
Last NPPES UpdateJanuary 17, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1407430572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1631 MIDTOWN PL STE 104-112, Raleigh, NC 27609

Secondary Practice Location 1

Location 11408 Neuse Blvd Ste 6New Bern, NC 28560-4629 · Phone (919) 279-8551

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 Bountiful Life's NPI number?

The NPI number for Bountiful Life is 1407430572. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Bountiful Life located?

Bountiful Life is located at 1631 Midtown Pl Ste 104-112, Raleigh, NC 27609. The listed phone number is (919) 279-8551.

What is Bountiful Life's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Bountiful Life was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.