Provider Demographics
NPI:1306995667
Name:ABSOLUTE IN HOME CARE
Entity type:Organization
Organization Name:ABSOLUTE IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CHINERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-9878
Mailing Address - Street 1:247 SNYDER RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-8284
Mailing Address - Country:US
Mailing Address - Phone:828-652-9878
Mailing Address - Fax:828-659-6020
Practice Address - Street 1:247 SNYDER RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-8284
Practice Address - Country:US
Practice Address - Phone:828-652-9878
Practice Address - Fax:828-659-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3080251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601316Medicaid
NC3408919Medicaid