Provider Demographics
NPI:1174102230
Name:ABSOLUTE HOME CARE OF CT
Entity type:Organization
Organization Name:ABSOLUTE HOME CARE OF CT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:718-813-3293
Mailing Address - Street 1:210 MAIN ST UNIT 1521
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06034-7061
Mailing Address - Country:US
Mailing Address - Phone:718-813-3293
Mailing Address - Fax:
Practice Address - Street 1:39 LEDGE RD
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1342
Practice Address - Country:US
Practice Address - Phone:860-796-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty