Abundant Christian Living Community LLC
NPI 1902491178 · Skilled Nursing Facility · Johnson City, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abundant Christian Living Community LLC is a Skilled Nursing Facility organization in Johnson City, TN (NPI 1902491178).
Provider details
- NPI number
- 1902491178
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jimmy Lewis, Chief Manager(423) 975-5455
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Abundant Christian Living Community LLC's NPI number?
- Abundant Christian Living Community LLC's National Provider Identifier (NPI) is 1902491178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abundant Christian Living Community LLC?
- Abundant Christian Living Community LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Abundant Christian Living Community LLC located?
- Abundant Christian Living Community LLC's practice location on file with NPPES is 2012 Sherwood Dr, Johnson City, TN 37601-3238.
- What is Abundant Christian Living Community LLC's phone number?
- The practice phone number listed in the NPPES registry for Abundant Christian Living Community LLC is (423) 232-8200.
- Does Abundant Christian Living Community LLC accept Medicare?
- Abundant Christian Living Community LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Abundant Christian Living Community LLC?
- The authorized official listed on Abundant Christian Living Community LLC's NPPES record is Jimmy Lewis, Chief Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abundant Christian Living Community LLC's NPI active?
- Yes — Abundant Christian Living Community LLC's NPI (1902491178) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.