Provider Demographics
NPI:1578182945
Name:ABSOLUTE CARE INC
Entity Type:Organization
Organization Name:ABSOLUTE CARE INC
Other - Org Name:ABSOLUTE CARE PRP
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEBISI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANNI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MSN-BC, RN
Authorized Official - Phone:202-288-7898
Mailing Address - Street 1:7515 ANNAPOLIS RD STE 409
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1752
Mailing Address - Country:US
Mailing Address - Phone:301-577-6500
Mailing Address - Fax:240-467-3151
Practice Address - Street 1:7515 ANNAPOLIS RD STE 409
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1752
Practice Address - Country:US
Practice Address - Phone:301-577-6500
Practice Address - Fax:240-467-3151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-15
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)