ABUNDANT HEARTS, LLC
NPI 1639741630
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stafford, TX

NPI Status: Active since July 11, 2021

Contact Information

5010 GROVE WEST BLVD UNIT 2004
STAFFORD, TX
ZIP 77477
Phone: (832) 216-3356

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  • Organization
  • Community Based Residential Treatment Fa...

About ABUNDANT HEARTS, LLC

This page provides the complete NPI Profile along with additional information for Abundant Hearts, Llc, a provider established in Stafford, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1639741630 assigned on July 2021. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Derrick Deron Bradley (Owner)

NPI
1639741630
Provider Name
ABUNDANT HEARTS, LLC
Entity Type
Organization
Location Address
5010 GROVE WEST BLVD UNIT 2004 STAFFORD, TX 77477
Location Phone
(832) 216-3356
Mailing Address
5010 GROVE WEST BLVD UNIT 2004 STAFFORD, TX 77477
Mailing Phone
(832) 216-3356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2021
Last Update Date
07-11-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2251S00000XAgencies

Community/Behavioral Health

 
3320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DERRICK DERON BRADLEY

Authorized Official Title
OWNER
Authorized Official Phone
(832) 216-3356

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639741630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669144266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 4 + 2 + 6 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639741630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639741630, enumerated as an "organization" on July 11, 2021.

The provider is located at 5010 GROVE WEST BLVD UNIT 2004 STAFFORD, TX 77477 and the phone number is (832) 216-3356.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.