Organization
ABUNDANT LIFE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE RIDEOUT LMSW (CEO)
(231) 780-8834
Entity
Organization
Contact information
Practice address
3630 E OWENS AVE APT 1001, LAS VEGAS, NV 89110-1053
(888) 405-9878
Mailing address
PO BOX 126, KENNEDALE, TX 76060-0126
(888) 405-9878
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/25/2024
Last updated
02/25/2026
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