Provider Demographics
NPI:1427583236
Name:ABSOLUTE COMMUNITY HEALTH, LLC
Entity Type:Organization
Organization Name:ABSOLUTE COMMUNITY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:SHEREE
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:469-254-5346
Mailing Address - Street 1:402 W WHEATLAND RD STE 128
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4628
Mailing Address - Country:US
Mailing Address - Phone:469-254-5346
Mailing Address - Fax:682-727-5999
Practice Address - Street 1:402 W WHEATLAND RD STE 180
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4600
Practice Address - Country:US
Practice Address - Phone:469-254-5346
Practice Address - Fax:888-703-4933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-29
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care