Abundant Christian Living Community Llc

LBN: Abundant Christian Living Community Llc
Abundant Christian Living Community Llc is an health care organization with primary practice located at 2012 Sherwood Dr , Johnson City TN 37601-3238. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Abundant Christian Living Community Llc can be contacted via phone (423) 232-8200, or through Lewis, Jimmy R. via phone (423) 975-5455.

Contact Information

Primary practice address
2012 Sherwood Dr Johnson City TN 37601-3238
Phone: (423) 232-8200
Fax: (423) 232-8240
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Jimmy R.
Phone: (423) 975-5455

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1902491178
LBN Legal business name Abundant Christian Living Community Llc
DBA Doing business as
Authorized official Lewis, Jimmy R.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2021
Last updated Mar 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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