Eternity of Love

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ETERNITY OF LOVE

Practice address

2400 N Tenaya Way
Las Vegas, NV 89128

Phone

(702) 808-3581

NPI assigned

Feb 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vidal D White

Title

Owner

Phone

(702) 808-3581

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1891297453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280420",
            "telephone_number": "702-808-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-808-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY OF LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VIDAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-808-3581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramin Etebar, MD LTD
• Eterna Medical Group LLC
• Eternal Hospice
• Eterne Wellness LLC
• Eternity Care Services, Inc (Eternity Care Hospice)
• Eternity's Path
• Eternitys Peak
• Damian Etheredge
• Alexis Etheridge
• Samantha Etheridge

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.