Provider Demographics
NPI:1922384700
Name:ABSOLUTE HOME CARE, LLC.
Entity Type:Organization
Organization Name:ABSOLUTE HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:FINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-532-5063
Mailing Address - Street 1:855 E GOLF RD
Mailing Address - Street 2:SUITE 2132
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5222
Mailing Address - Country:US
Mailing Address - Phone:224-795-7952
Mailing Address - Fax:847-593-9781
Practice Address - Street 1:855 E GOLF RD
Practice Address - Street 2:SUITE 2132
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5222
Practice Address - Country:US
Practice Address - Phone:224-795-7952
Practice Address - Fax:847-593-9781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000590253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care