Provider Demographics
NPI:1235021015
Name:ABUNDANCE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ABUNDANCE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-550-5104
Mailing Address - Street 1:17993 US HIGHWAY 18 STE 104
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2144
Mailing Address - Country:US
Mailing Address - Phone:760-550-5104
Mailing Address - Fax:
Practice Address - Street 1:17993 US HIGHWAY 18 STE 104
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2144
Practice Address - Country:US
Practice Address - Phone:760-550-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No342000000XTransportation ServicesTransportation Network Company
No385H00000XRespite Care FacilityRespite Care