Provider Demographics
NPI:1407625056
Name:ABSOLUTE CARE CORPORATION INC
Entity Type:Organization
Organization Name:ABSOLUTE CARE CORPORATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEAVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-529-0337
Mailing Address - Street 1:4129 W ROOSEVELT DR # A
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3041
Mailing Address - Country:US
Mailing Address - Phone:312-529-0337
Mailing Address - Fax:262-393-0387
Practice Address - Street 1:4129 W ROOSEVELT DR # A
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3041
Practice Address - Country:US
Practice Address - Phone:312-529-0337
Practice Address - Fax:262-393-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care