OrganizationActive
Abundant Life Assisted Living LLC
NPI 1003762014 · Assisted Living Facility · Los Angeles, CA
Provider details
- NPI number
- 1003762014
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Quianna Street, Licensee(310) 696-9555
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 W 75th St
Los Angeles, CA 90044-2405
Phone: (310) 926-7574
Street-level locationGet directions
Mailing address
7252 Archibald Ave # 543
Rancho Cucamonga, CA 91701-5017
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.