Provider Demographics
NPI:1538300496
Name:ABSOLUTE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ABSOLUTE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:914-699-0022
Mailing Address - Street 1:9 W PROSPECT AVE SUITE 309
Mailing Address - Street 2:9 W PROSPECT AVE SUITE 309
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2049
Mailing Address - Country:US
Mailing Address - Phone:914-699-0022
Mailing Address - Fax:914-699-2197
Practice Address - Street 1:9 W PROSPECT AVE STE 309
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2049
Practice Address - Country:US
Practice Address - Phone:914-699-0022
Practice Address - Fax:914-699-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY92581001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01435478Medicaid