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Abundant Life Home Care

In Home Supportive Care in Las Vegas, NV. Organization (NPI-2).

NPI number1003662628
StatusActive
Last updated in NPPESFeb 25, 2026

Details

NPI
1003662628
Entity type
Organization (NPI-2)
Legal business name
Abundant Life Home Care
Organization subpart
No
Enumeration date
Apr 25, 2024
Certification date
Feb 25, 2026
Last updated
Feb 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251B00000X Case Management––
251E00000X Home Health––
385H00000X Respite Care––
343900000X Non-emergency Medical Transport (VAN)––

Practice location

3630 E Owens Ave Apt 1001
Las Vegas, NV 89110-1053

Phone 888-405-9878

Mailing address

Po Box 126
Kennedale, TX 76060-0126

Phone 888-405-9878

Authorized official

Patrice Rideout
Ceo
2317808834

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