MEDICARE: ABSOLUTE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	314000000X	Skilled Nursing Facility	04B430	CO
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06-7514	OTHER	CO	CMS CERIFICATION NUMBER

General Provider Information

NPI Number	:	1518387232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE HOME CARE LLC

Provider Business Mailing Address
First Line	:	9725 E HAMPDEN AVE STE 102F
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4916
Country	:	US
Telephone Number	:	720-999-7774
Fax Number	:	720-368-5040

Provider Business Practice Location Address
First Line	:	9725 E HAMPDEN AVE STE 102F
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4916
Country	:	US
Telephone Number	:	720-999-7774
Fax Number	:	720-368-5040

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OLGA SKURATOVICH
Credential	:
Telephone Number	:	720-933-9040

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	12/13/2022

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Directions to “ABSOLUTE HOME CARE LLC ” Practice Location

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