MEDICARE: ABSOLUTE CARE HOME HEALTH, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760246821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE CARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1500 W SHAW AVE STE 400
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3501
Country	:	US
Telephone Number	:	559-490-7492
Fax Number	:	559-400-6739

Provider Business Practice Location Address
First Line	:	1500 W SHAW AVE STE 400
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3501
Country	:	US
Telephone Number	:	559-490-7492
Fax Number	:	559-400-6739

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	SERGEIH KHACHATOURIAN
Credential	:
Telephone Number	:	559-490-7492

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	05/30/2026

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