Provider Demographics
NPI:1518387232
Name:ABSOLUTE HOME CARE LLC
Entity Type:Organization
Organization Name:ABSOLUTE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKURATOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-933-9040
Mailing Address - Street 1:9725 E HAMPDEN AVE STE 102F
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4916
Mailing Address - Country:US
Mailing Address - Phone:720-999-7774
Mailing Address - Fax:720-368-5040
Practice Address - Street 1:9725 E HAMPDEN AVE STE 102F
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4916
Practice Address - Country:US
Practice Address - Phone:720-999-7774
Practice Address - Fax:720-368-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X
CO04B430314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06-7514OtherCMS CERIFICATION NUMBER