MEDICARE: A GREATER LOVE HOME INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1447127782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A GREATER LOVE HOME INC.

Provider Business Mailing Address
First Line	:	3805 SHALLOW DOVE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8103
Country	:	US
Telephone Number	:	725-696-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3805 SHALLOW DOVE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8103
Country	:	US
Telephone Number	:	725-696-8811
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHERINE A DODSON
Credential	:
Telephone Number	:	702-955-9668

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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Directions to “A GREATER LOVE HOME INC. ” Practice Location

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