Provider Demographics
NPI:1972987220
Name:ABSOLUTE HOME CARE LLC
Entity type:Organization
Organization Name:ABSOLUTE HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-672-9809
Mailing Address - Street 1:7 W BROAD ST
Mailing Address - Street 2:4-B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-4334
Mailing Address - Country:US
Mailing Address - Phone:757-672-9809
Mailing Address - Fax:
Practice Address - Street 1:1321 PARKER AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-4421
Practice Address - Country:US
Practice Address - Phone:757-672-9809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health