Healthcare Provider Details

I. General information

NPI: 1457864795
Provider Name (Legal Business Name): ABIDING HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 STELLA LAKE ST STE 36
LAS VEGAS NV
89106-2144
US

IV. Provider business mailing address

911 RHYOLITE TER
HENDERSON NV
89011-3088
US

V. Phone/Fax

Practice location:
  • Phone: 702-564-3049
  • Fax:
Mailing address:
  • Phone: 702-595-4805
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

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