Healthcare Provider Details

I. General information

NPI: 1467769166
Provider Name (Legal Business Name): ABSOLUTE HOME HEALTH NC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S WHITE ST
WAKE FOREST NC
27587-2920
US

IV. Provider business mailing address

525 S WHITE ST
WAKE FOREST NC
27587-2920
US

V. Phone/Fax

Practice location:
  • Phone: 919-827-0719
  • Fax:
Mailing address:
  • Phone: 919-827-0719
  • Fax: 888-679-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA HECKSTALL
Title or Position: DIRECTOR
Credential:
Phone: 919-827-0719