Provider Demographics
NPI:1477950871
Name:ABSOLUTE HEALTH NURSING SERVICES
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-539-8518
Mailing Address - Street 1:107 KABARDIN CT
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-4814
Mailing Address - Country:US
Mailing Address - Phone:540-539-8518
Mailing Address - Fax:
Practice Address - Street 1:107 KABARDIN CT
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-4814
Practice Address - Country:US
Practice Address - Phone:540-539-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001143039251B00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1669530200Medicaid