Abundant Life Agency
NPI 1972832590ActiveOrganization· Skilled Nursing Facility· Brooklyn, NY
Skilled Nursing Facility in Brooklyn, New York, registered in NPPES in December 2009. The authorized official on file is Keston Jason John, Program Coordinator.
Overview
| NPI | 1972832590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2009 |
| Last updated in NPPES | Dec 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 9108L001 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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