Provider Demographics
NPI:1801031729
Name:ABG ABSOLUTE CARE, LLC
Entity Type:Organization
Organization Name:ABG ABSOLUTE CARE, LLC
Other - Org Name:HERITAGE HOME HEALTHCARE OF STARK & PORTAGE COUNTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES./ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANASTACIA
Authorized Official - Middle Name:ERESE
Authorized Official - Last Name:CLEMENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-493-9072
Mailing Address - Street 1:3416 STILLWATER AVE. NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708
Mailing Address - Country:US
Mailing Address - Phone:330-493-9072
Mailing Address - Fax:330-493-9082
Practice Address - Street 1:4801 MUNSON ST. NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-493-9072
Practice Address - Fax:330-493-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health