Provider Demographics
NPI:1689022618
Name:ABSOLUTE SENIOR CARE ACQUISTIONS LLC
Entity Type:Organization
Organization Name:ABSOLUTE SENIOR CARE ACQUISTIONS LLC
Other - Org Name:ABSOLUTE SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:CUPPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-344-6650
Mailing Address - Street 1:19 NE 50TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-1807
Mailing Address - Country:US
Mailing Address - Phone:918-344-6650
Mailing Address - Fax:405-809-9509
Practice Address - Street 1:19 NE 50TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-1807
Practice Address - Country:US
Practice Address - Phone:918-344-6650
Practice Address - Fax:405-809-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCSS0017253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care