OrganizationActive
Abundantly Living Home Care LLC
NPI 1104708924 · In Home Supportive Care Agency · Pearland, TX
Provider details
- NPI number
- 1104708924
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Samuel Willis, Owner(713) 955-0967
Specialties & taxonomies
Agencies
Practice location
11200 Broadway St Ste 2743
Pearland, TX 77584-9787
Phone: (713) 955-0967
Fax: (281) 262-3122
Approximate (ZIP-level) locationGet directions
Mailing address
11200 Broadway St Ste 2743
Pearland, TX 77584-9787
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.