ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC — NPI 1336529080 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in TAVARES, FL)

CMS-1500 Box 24J / 33a • NPI

1336529080

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251J00000X

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

1617 E ALFRED ST, TAVARES, FL, 32778-3535

✓ 9-Digit EDI 837 ZIP+4 (32778-3535)

Practice Phone & Referral Fax

(352) 459-1245

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1336529080 (ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1336529080` (NPI-2 Organization / Facility)
Provider / Legal Name	ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `251J00000X` (Nursing Care)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	1617 E ALFRED ST, TAVARES, FL, 32778-3535
Practice Telephone / Fax	Tel: (352) 459-1245
Administrative Mailing Address	1617 E ALFRED ST, TAVARES, FL, 32778-3535
Enumeration & Last Sync	Enumerated: 2015-06-08 \| CMS Record Updated: 2015-06-08
Authorized Official	PATRICIA ALLEN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1617 E ALFRED ST, TAVARES, FL, 32778-3535

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Plain-English Taxonomy & CMS Crosswalk (251J00000X)

What Does Taxonomy Code 251J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251J00000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251J00000X` — Nursing Care Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: FL \| License: `RN9281220` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC (NPI #1336529080)