Provider Demographics
NPI:1083688758
Name:ABSOLUTE SKILLED HOME HEALTH INC
Entity Type:Organization
Organization Name:ABSOLUTE SKILLED HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, BILLING
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-498-8047
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:44232-0519
Mailing Address - Country:US
Mailing Address - Phone:330-498-8219
Mailing Address - Fax:330-498-8223
Practice Address - Street 1:7171 KECK PARK CIR NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6301
Practice Address - Country:US
Practice Address - Phone:330-498-8219
Practice Address - Fax:330-498-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2121902Medicaid
OH2121902Medicaid