Provider Demographics
NPI:1609331222
Name:ABSOLUTE PATIENT SITTER STAFFING SERVICES
Entity Type:Organization
Organization Name:ABSOLUTE PATIENT SITTER STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NISHIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-921-1656
Mailing Address - Street 1:545 N RIMSDALE AVE UNIT 3004
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-7191
Mailing Address - Country:US
Mailing Address - Phone:626-260-8094
Mailing Address - Fax:
Practice Address - Street 1:545 N RIMSDALE AVE UNIT 3004
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-7191
Practice Address - Country:US
Practice Address - Phone:909-921-1656
Practice Address - Fax:888-800-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA062643OtherBUSINESS LICENSE CERTIFICATE
CAC4015220OtherSECRETARY OF STATE