Healthcare Provider Details

I. General information

NPI: 1881932325
Provider Name (Legal Business Name): ABSOLUTE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9725 E HAMPDEN AVE STE 102F
DENVER CO
80231-4916
US

IV. Provider business mailing address

9725 E HAMPDEN AVE STE 102F
DENVER CO
80231-4916
US

V. Phone/Fax

Practice location:
  • Phone: 720-999-7774
  • Fax: 720-368-5040
Mailing address:
  • Phone: 720-999-7774
  • Fax: 720-368-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04B430
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLGA SKURATOVICH
Title or Position: ADMINISTRATOR
Credential:
Phone: 720-933-9040