MEDICARE: ABSOLUTE 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1730891987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE CARE, LLC

Provider Business Mailing Address
First Line	:	1980 S OCEAN DR APT 18F
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12550 BISCAYNE BOULEVARD
Second Line	:	8TH FLOOR - SUITE 40
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-5938
Country	:	US
Telephone Number	:	305-790-8953
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GERARDO A FOJO
Credential	:
Telephone Number	:	305-790-8953

Provider Enumeration Date	:	12/20/2022
Last Update Date	:	08/26/2024

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