Abundant Life Assisted Living LLC
Assisted Living Facility in Los Angeles, California
1003762014- Practice location
- 1201 W 75TH St, Los Angeles, CA 90044-2405
- Phone
- 310-926-7574
- Fax
- —
- Last updated
- March 10, 2026
Abundant Life Assisted Living LLC is a healthcare organization based in Los Angeles, CA. Abundant Life Assisted Living LLC practices in Los Angeles, CA. The NPI Number for Abundant Life Assisted Living LLC is 1003762014. The current practice location address for Abundant Life Assisted Living LLC is 1201 W 75TH St, Los Angeles, CA 90044-2405 and can be reached out via phone at 310-926-7574.
Provider Profile Details
- NPI Number
- 1003762014
- Provider Name
- Abundant Life Assisted Living LLC
- Provider Entity Type
- Organization
- Address
- 1201 W 75TH St, Los Angeles, CA 90044-2405
- Phone Number
- 310-926-7574
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Quianna Street · Licensee · 310-696-9555
- Provider Enumeration Date
- March 10, 2026
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1201 W 75TH St
Los Angeles, CA 90044-2405 - City
- Los Angeles
- State
- California
- Zip
- 90044-2405
- Phone Number
- 310-926-7574
Provider Business Mailing Address Details
- Address
- 7252 Archibald Ave # 543
Rancho Cucamonga, CA 91701-5017 - City
- Rancho Cucamonga
- State
- CA
- Zip
- 91701-5017
- Phone Number
- 310-926-7574
License Information
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Abundant Life Assisted Living LLC?
The NPI number of Abundant Life Assisted Living LLC is 1003762014. It was assigned on March 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Abundant Life Assisted Living LLC?
Abundant Life Assisted Living LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).
Where does Abundant Life Assisted Living LLC practice?
The practice location is 1201 W 75TH St, Los Angeles, CA 90044-2405. The office can be reached at 310-926-7574 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003762014 directly on the NPPES registry website.