Healthcare Provider Details

I. General information

NPI: 1932648854
Provider Name (Legal Business Name): ABSOLUTE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021B CUNNINGHAM DR SUITE 2
HAMPTON VA
23666-3326
US

IV. Provider business mailing address

PO BOX 7113
HAMPTON VA
23666-0113
US

V. Phone/Fax

Practice location:
  • Phone: 757-763-7144
  • Fax:
Mailing address:
  • Phone: 757-763-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateVA

VIII. Authorized Official

Name: NABILA S. WHITE
Title or Position: OWNER
Credential: LPC
Phone: 757-763-7144