Provider Demographics
NPI:1144072372
Name:ABSOLUTE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ABSOLUTE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYWANNA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:THOMAS-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-870-5567
Mailing Address - Street 1:380 OLD ROXIE RD NW
Mailing Address - Street 2:
Mailing Address - City:ROXIE
Mailing Address - State:MS
Mailing Address - Zip Code:39661-5177
Mailing Address - Country:US
Mailing Address - Phone:601-870-5567
Mailing Address - Fax:
Practice Address - Street 1:380 OLD ROXIE RD NW
Practice Address - Street 2:
Practice Address - City:ROXIE
Practice Address - State:MS
Practice Address - Zip Code:39661-5177
Practice Address - Country:US
Practice Address - Phone:601-870-5567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care