OrganizationActive
Abundant Grace LLC
NPI 1316644636 · Community/Behavioral Health Agency · Phoenix, AZ
Abundant Grace LLC is a Community/Behavioral Health Agency organization in Phoenix, AZ (NPI 1316644636).
Provider details
- NPI number
- 1316644636
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Olufemi Omodara, Owner(623) 521-5935
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
7227 S Central Ave
#1080
Phoenix, AZ 85042-2951
Phone: (623) 521-5935
Fax: (602) 441-4838
Street-level locationGet directions
Mailing address
P.o. Box 5693
Goodyear, AZ 85338
Other names (DBA / former)
- Doing business as
- Khen Behavioral Clinic
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Frequently asked questions
- What is Abundant Grace LLC's NPI number?
- Abundant Grace LLC's National Provider Identifier (NPI) is 1316644636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abundant Grace LLC?
- Abundant Grace LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Abundant Grace LLC located?
- Abundant Grace LLC's practice location on file with NPPES is 7227 S Central Ave, Phoenix, AZ 85042-2951.
- What is Abundant Grace LLC's phone number?
- The practice phone number listed in the NPPES registry for Abundant Grace LLC is (623) 521-5935.
- Who is the authorized official for Abundant Grace LLC?
- The authorized official listed on Abundant Grace LLC's NPPES record is Olufemi Omodara, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abundant Grace LLC's NPI active?
- Yes — Abundant Grace LLC's NPI (1316644636) is active in the NPPES registry as of the last update on 2023-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.