MEDICARE: ABSOLUTE HEALTH NURSING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	0001143039	VA
2	251J00000X	Nursing Care Agency	0001143039	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477950871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE HEALTH NURSING SERVICES

Provider Business Mailing Address
First Line	:	107 KABARDIN CT
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4814
Country	:	US
Telephone Number	:	540-539-8518
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 KABARDIN CT
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4814
Country	:	US
Telephone Number	:	540-539-8518
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TRICIA D. LESMAN
Credential	:	RN
Telephone Number	:	540-539-8518

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	12/01/2014

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