Healthcare Provider Details

I. General information

NPI: 1811293277
Provider Name (Legal Business Name): ABSOLUTE CARE NURSING & HOME HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14034 BROMFIELD RD
GERMANTOWN MD
20874-2290
US

IV. Provider business mailing address

PO BOX 7585
GAITHERSBURG MD
20898-7585
US

V. Phone/Fax

Practice location:
  • Phone: 240-491-4101
  • Fax: 240-491-4103
Mailing address:
  • Phone: 240-491-4101
  • Fax: 240-491-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR2981
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2981
License Number StateMD

VIII. Authorized Official

Name: MRS. AUGUSTINA O ENWEZE
Title or Position: COO/ADMINISTRATOR
Credential:
Phone: 301-806-0063