Healthcare Provider Details

I. General information

NPI: 1699849380
Provider Name (Legal Business Name): ABSOLUTE HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22222 SHERMAN WAY STE 226
CANOGA PARK CA
91303-1055
US

IV. Provider business mailing address

22222 SHERMAN WAY STE 226
CANOGA PARK CA
91303-1055
US

V. Phone/Fax

Practice location:
  • Phone: 310-231-2222
  • Fax: 800-886-0769
Mailing address:
  • Phone: 310-231-2222
  • Fax: 800-886-0769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000192
License Number StateCA

VIII. Authorized Official

Name: MS. CHERRILYN NTUEN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 323-634-9585