Provider Demographics
NPI:1043514573
Name:ABSOLUTE HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:ABSOLUTE HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:I
Authorized Official - Last Name:OHAKOSIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-439-4271
Mailing Address - Street 1:413 HOMELAND RD
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1877
Mailing Address - Country:US
Mailing Address - Phone:708-748-9313
Mailing Address - Fax:708-748-9319
Practice Address - Street 1:413 HOMELAND RD
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1877
Practice Address - Country:US
Practice Address - Phone:708-748-9313
Practice Address - Fax:708-748-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011295251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health