Provider Demographics
NPI:1376292482
Name:ABSOLUTE COMPLETE HOME HEALTH SERVICES CORPORATION
Entity Type:Organization
Organization Name:ABSOLUTE COMPLETE HOME HEALTH SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YENEICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-230-6437
Mailing Address - Street 1:7225 NW 25TH ST STE 317
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1710
Mailing Address - Country:US
Mailing Address - Phone:305-603-7722
Mailing Address - Fax:305-603-7722
Practice Address - Street 1:7225 NW 25TH ST STE 317
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1710
Practice Address - Country:US
Practice Address - Phone:305-603-7722
Practice Address - Fax:305-603-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care