Provider Demographics
NPI:1689729873
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:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERBY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:810-694-1042
Mailing Address - Street 1:9463 HOLLY ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2557
Mailing Address - Country:US
Mailing Address - Phone:810-694-1042
Mailing Address - Fax:810-694-1043
Practice Address - Street 1:9463 HOLLY ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2557
Practice Address - Country:US
Practice Address - Phone:810-694-1042
Practice Address - Fax:810-694-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7732Medicare UPIN
MI237732Medicare Oscar/Certification