Healthcare Provider Details

I. General information

NPI: 1124571732
Provider Name (Legal Business Name): ABIDING HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2016
Last Update Date: 08/21/2022
Certification Date: 08/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 STELLA LAKE ST #36
LAS VEGAS NV
89106
US

IV. Provider business mailing address

1099 COUNTRY COACH DR
HENDERSON NV
89002-8942
US

V. Phone/Fax

Practice location:
  • Phone: 702-595-4805
  • Fax: 702-565-9798
Mailing address:
  • Phone: 702-595-4805
  • Fax: 702-648-8966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNV20101089550
License Number StateNV

VIII. Authorized Official

Name: EDWARD BROWN
Title or Position: DIRECTOR
Credential:
Phone: 702-595-4805