Healthcare Provider Details

I. General information

NPI: 1629556824
Provider Name (Legal Business Name): ABSOLUTECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 ANNAPOLIS RD STE 206
HYATTSVILLE MD
20784-1740
US

IV. Provider business mailing address

7515 ANNAPOLIS RD STE 206
HYATTSVILLE MD
20784-1740
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-6500
  • Fax: 240-467-3151
Mailing address:
  • Phone: 301-577-6500
  • Fax: 240-467-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License NumberR3218
License Number StateMD

VIII. Authorized Official

Name: MRS. ADEBISI SHERIFAT SANNI
Title or Position: PRESIDENT/ADMINISTRATOR
Credential: B.SC, MSC.,RN
Phone: 301-577-6500