ABUNDANT LIFE CARE CLINIC LLC
NPI 1487388930
Nurse Practitioner - Family in Catonsville, MD

Active since July 11, 2022
516 N ROLLING RD STE 203, CATONSVILLE, MD 21228(216) 925-9786 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2023, Nov 23, 2022, Aug 8, 2022 and 1 more (4 updates tracked since 2022).

About Abundant Life Care Clinic Llc NPPES

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

ABUNDANT LIFE CARE CLINIC LLC (NPI 1487388930) is a healthcare organization registered as a family in Catonsville, Maryland and active in the NPI registry since July 2022. The organization lists Patience M Chia, Owner, as its authorized official.

NPPES Registry Identity

NPI1487388930
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameABUNDANT LIFE CARE CLINIC LLC
Location Address516 N ROLLING RD STE 203Catonsville, MD 21228-4187
Mailing Address4317 Jordan WayPerry Hall, MD 21128-9859
Organization SubpartNo
Authorized OfficialPatience M ChiaOwner · (216) 925-9786
Enumeration DateJuly 11, 2022
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1487388930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
516 N ROLLING RD STE 203, Catonsville, MD 21228

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 Care Clinic 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 Care Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1427664200
3310 EASTERN AVE
Baltimore, MD 21224
(410) 423-4543
✔ PECOS✔ Accepts Medicare10.0 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 Care Clinic LLC's NPI number?

The NPI number for Abundant Life Care Clinic LLC is 1487388930. It was assigned to this organization in the NPPES registry on July 11, 2022.

Where is Abundant Life Care Clinic LLC located?

Abundant Life Care Clinic LLC is located at 516 N Rolling Rd Ste 203, Catonsville, MD 21228. The listed phone number is (216) 925-9786.

What is Abundant Life Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abundant Life Care Clinic LLC enrolled in Medicare?

Yes. Abundant Life Care Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abundant Life Care Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Abundant Life Care Clinic 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 Care Clinic LLC was last updated on July 24, 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.