ABUNDANT LIVING ENTERPRISES DBA EO ELECTROLYSIS — NPI 1376458471 (Licensed & Credentialed Specialist/Technologist, Other in FORTUNA, CA)

CMS-1500 Box 24J / 33a • NPI

1376458471

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

246Z00000X

Licensed & Credentialed Specialist/Technologist, Other

Box 32 Service Location & ZIP+4

927 MAIN ST, FORTUNA, CA, 95540-2006

✓ 9-Digit EDI 837 ZIP+4 (95540-2006)

Practice Phone & Referral Fax

(707) 362-3857

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376458471 (ABUNDANT LIVING ENTERPRISES DBA EO ELECTROLYSIS) 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	`1376458471` (NPI-2 Organization / Facility)
Provider / Legal Name	ABUNDANT LIVING ENTERPRISES DBA EO ELECTROLYSIS
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other NUCC Code: `246Z00000X` (Specialist/Technologist, Other)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	927 MAIN ST, FORTUNA, CA, 95540-2006
Practice Telephone / Fax	Tel: (707) 362-3857
Administrative Mailing Address	2508 SHAY CT, FORTUNA, CA, 95540-2852
Enumeration & Last Sync	Enumerated: 2026-08-14 \| CMS Record Updated: 2026-08-14
Authorized Official	BOBBI HADLEY (Electrolysis Technician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

927 MAIN ST, FORTUNA, CA, 95540-2006

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Plain-English Taxonomy & CMS Crosswalk (246Z00000X)

What Does Taxonomy Code 246Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246Z00000X translates to:
"Licensed & Credentialed Specialist/Technologist, Other"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABUNDANT LIVING ENTERPRISES DBA EO ELECTROLYSIS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`246Z00000X` — Specialist/Technologist, Other Plain English: Licensed & Credentialed Specialist/Technologist, Other	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABUNDANT LIVING ENTERPRISES DBA EO ELECTROLYSIS (NPI #1376458471)