Provider Demographics
NPI:1962000877
Name:ABSOLUTELY ABLE HOME CARE OF SCOTTSDALE INC.
Entity Type:Organization
Organization Name:ABSOLUTELY ABLE HOME CARE OF SCOTTSDALE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:SHOEMAKER
Authorized Official - Last Name:SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-567-8601
Mailing Address - Street 1:5635 N SCOTTSDALE RD STE 170
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5945
Mailing Address - Country:US
Mailing Address - Phone:480-567-8601
Mailing Address - Fax:
Practice Address - Street 1:5635 N SCOTTSDALE RD STE 170
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-5945
Practice Address - Country:US
Practice Address - Phone:480-567-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1619352192OtherVA