Provider Demographics
NPI:1811293277
Name:ABSOLUTE CARE NURSING & HOME HEALTH CARE SERVICES, LLC
Entity type:Organization
Organization Name:ABSOLUTE CARE NURSING & HOME HEALTH CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ENWEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-806-0063
Mailing Address - Street 1:PO BOX 7585
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20898-7585
Mailing Address - Country:US
Mailing Address - Phone:240-491-4101
Mailing Address - Fax:240-491-4103
Practice Address - Street 1:14034 BROMFIELD RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2290
Practice Address - Country:US
Practice Address - Phone:240-491-4101
Practice Address - Fax:240-491-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2981251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6991840-00OtherBEHAVIOR CONSULTATION
MDR2981OtherRESIDENTIAL SERVICE AGENGY
MD6991840 00OtherLIVING AT HOME WAIVER/ WAIVER FOR OLDER ADULT
MD6991840-00OtherFAMILY AND CONSUMER TRAINING