ABUNDANT LIVING FOUNDATION, INC.
NPI 1033973854
Clinic/Center - Community Health in Canton, GA
NPI Status: Active since February 12, 2024
Contact Information
1558 MARIETTA HWY STE 200
CANTON, GA
ZIP 30114
Phone: (914) 275-1477
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 11D2193095
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 09-16-2026
About ABUNDANT LIVING FOUNDATION, INC.
This page provides the complete NPI Profile along with additional information for Abundant Living Foundation, Inc., a primary care provider established in Canton, Georgia operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1033973854 assigned on February 2024. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Evelynmarie Sabrinah Dorce Mt(ascp) (Founder And Executive Director)
- NPI
- 1033973854
- Provider Name
- ABUNDANT LIVING FOUNDATION, INC.
- Entity Type
- Organization
- Location Address
- 1558 MARIETTA HWY STE 200 CANTON, GA 30114
- Location Phone
- (914) 275-1477
- Mailing Address
- 840 COMMERCE TRL CANTON, GA 30114
- Mailing Phone
- (914) 275-1477
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2024
- Last Update Date
- 02-12-2024
- Code Navigator
A primary care provider (PCP) like Abundant Living Foundation, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 291U00000X | Laboratories | Clinical Medical Laboratory |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2193095
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- September 17, 2024
- Certificate Expiration Date
- September 16, 2026
- Laboratory Director
- DR. EVELYN-MARIE S. DORCE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Abundant Living Foundation, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ABUNDANT LIVING FOUNDATION, INC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 9 | 7 | 3 | 8 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 18 | 7 | 6 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 8 + 7 + 6 + 8 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1033973854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356976930 | NADINE BLASE PSAREAS CADC II, ICADC, Individual | Counselor (Addiction (Substance Use Disorder)) | 1558 MARIETTA HWY STE 200 CANTON, GA 30114 (770) 224-6825 |
| 1013775048 | ABUNDANT LIVING FOUNDATION, INC. Organization | Community Health Worker | 1558 MARIETTA HWY STE 200 CANTON, GA 30114 (914) 275-1477 |
| 1366200651 | ABUNDANT LIVING FOUNDATION, INC. Organization | Exclusive Provider Organization | 1558 MARIETTA HWY STE 200 CANTON, GA 30114 (914) 275-1477 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033973854, enumerated in the NPI registry as an "organization" on February 12, 2024
The provider is located at 1558 Marietta Hwy Ste 200 Canton, Ga 30114 and the phone number is (914) 275-1477
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider's CLIA number is 11D2193095 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 12, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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