Provider Demographics
NPI:1881400026
Name:ABSOLUTE HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:ABSOLUTE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-851-0966
Mailing Address - Street 1:217 TORBETT ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2667
Mailing Address - Country:US
Mailing Address - Phone:509-427-1451
Mailing Address - Fax:509-955-4887
Practice Address - Street 1:217 TORBETT ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-2667
Practice Address - Country:US
Practice Address - Phone:509-427-1451
Practice Address - Fax:509-955-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAIHS.FS.61584590OtherIN HOME SERVICES AGENCY LICENSE