ABUNDANT HOME CARE, INC NPI 1669569802

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies) in Poway, CA

NPI 1669569802 Organization Durable Medical Equipment & Medical Supp... Oxygen Equipment & Supplies

About ABUNDANT HOME CARE, INC

Abundant Home Care, Inc is a provider established in Poway, California specializing in durable medical equipment & medical supplies (oxygen equipment & supplies) . The NPI number of Abundant Home Care, Inc is 1669569802 and was assigned on October 2006. The practitioner's primary taxonomy code is 332BX2000X with license number 45980 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Thomas Eslick (President)

NPI

1669569802

Provider NameABUNDANT HOME CARE, INC
Provider Location Address12545 KIRKHAM CT POWAY, CA 92064
Provider Mailing Address12545 KIRKHAM CT POWAY, CA 92064
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-09-2006
Last Update Date06-04-2012


Primary Taxonomy

Taxonomy Code332BX2000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
SpecializationOxygen Equipment & Supplies
License No.45980
License StateCA

Business Address

ABUNDANT HOME CARE, INC
12545 KIRKHAM CT
POWAY, CA
ZIP 92064
Phone: (858) 748-2288
Fax: (858) 748-5688

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Mailing Address

ABUNDANT HOME CARE, INC
12545 KIRKHAM CT
POWAY, CA
ZIP 92064
Phone: (858) 748-2288
Fax: (858) 748-5688



Authorized Official

Authorized Official Name THOMAS ESLICK
Authorized Official TitlePRESIDENT
Authorized Official Phone(858) 748-2288

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1323980001MEDICARE ID-TYPE UNSPECIFIED (04)CA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.