Healthcare Provider Details

I. General information

NPI: 1174894083
Provider Name (Legal Business Name): ABIDING HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
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

1099 COUNTRY COACH DR
HENDERSON NV
89002-8942
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
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