Healthcare Provider Details
I. General information
NPI: 1992506521
Provider Name (Legal Business Name): ABSOLUTE BALANCE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
959 W HURON ST # 35
WATERFORD MI
48328-3727
US
IV. Provider business mailing address
959 W HURON ST # 35
WATERFORD MI
48328-3727
US
V. Phone/Fax
- Phone: 248-927-7460
- Fax:
- Phone: 248-701-8917
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELYSIA
ADDISON
Title or Position: MANAGER
Credential:
Phone: 248-701-8917