Provider Demographics
NPI:1790143329
Name:ABSOLUTE KHEIR SERVICES, INC.
Entity Type:Organization
Organization Name:ABSOLUTE KHEIR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-763-0890
Mailing Address - Street 1:1701 23RD ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-7901
Mailing Address - Country:US
Mailing Address - Phone:409-463-0890
Mailing Address - Fax:409-763-0891
Practice Address - Street 1:1701 23RD ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-7901
Practice Address - Country:US
Practice Address - Phone:409-463-0890
Practice Address - Fax:409-763-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012753251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497981419OtherNPI
TX747414OtherMEDICARE