Healthcare Provider Details

I. General information

NPI: 1720586316
Provider Name (Legal Business Name): ABSOLUTE CARE AND HABILITATIVE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 SWEET WILLIAM TER
LAND O LAKES FL
34639-2805
US

IV. Provider business mailing address

23110 STATE ROAD 54 # 207
LUTZ FL
33549-6933
US

V. Phone/Fax

Practice location:
  • Phone: 813-748-6036
  • Fax: 813-343-4567
Mailing address:
  • Phone: 813-748-6036
  • Fax: 813-343-4567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number235130
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: SEKINAT MCNEIL
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 813-748-6036