Healthcare Provider Details

I. General information

NPI: 1780409474
Provider Name (Legal Business Name): ABIDING LOVE HEALTH CARE SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 LINDELL RD STE D468
LAS VEGAS NV
89103-1254
US

IV. Provider business mailing address

3651 LINDELL RD STE D468
LAS VEGAS NV
89103-1254
US

V. Phone/Fax

Practice location:
  • Phone: 702-213-3026
  • Fax:
Mailing address:
  • Phone: 702-213-3026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHEVON L WHITE
Title or Position: CEO
Credential:
Phone: 702-213-3026