Healthcare Provider Details

I. General information

NPI: 1447142666
Provider Name (Legal Business Name): ABSOLUTE PLATINUM HEALTH CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E PULASKI HWY STE B
ELKTON MD
21921-6650
US

IV. Provider business mailing address

218 E PULASKI HWY STE B
ELKTON MD
21921-6650
US

V. Phone/Fax

Practice location:
  • Phone: 347-247-0747
  • Fax:
Mailing address:
  • Phone: 347-247-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: OLAWALE TIJANI
Title or Position: CEO
Credential:
Phone: 347-247-0746