Provider Demographics
NPI:1558505164
Name:ABSOLUTE RESIDENTIAL CARE, INC.
Entity Type:Organization
Organization Name:ABSOLUTE RESIDENTIAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAROSLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYKHITKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-886-4290
Mailing Address - Street 1:4991 PEBBLE HILL LANE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1974
Mailing Address - Country:US
Mailing Address - Phone:805-886-4290
Mailing Address - Fax:805-964-1195
Practice Address - Street 1:435 REX PLACE
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1620
Practice Address - Country:US
Practice Address - Phone:805-886-4290
Practice Address - Fax:805-964-1195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE RESIDENTIAL CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALIC.#425801010310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility