Provider Demographics
NPI:1952456048
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:REGIONAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-468-0140
Mailing Address - Street 1:2003 BLAINE ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-4344
Mailing Address - Country:US
Mailing Address - Phone:208-454-5655
Mailing Address - Fax:208-454-0951
Practice Address - Street 1:2003 BLAINE ST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4344
Practice Address - Country:US
Practice Address - Phone:208-454-5655
Practice Address - Fax:208-454-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807056700Medicaid
ID808016503Medicaid