NPIMap

Organization Active NPI

Absolute Home Health Care, Inc.

  • Home Health Agency
  • Grand Blanc, MI
National Provider Identifier
1689729873
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABSOLUTE HOME HEALTH CARE, INC.
Practice address
9463 Holly Road
Suite 104
Grand Blanc, MI 48439-2557
Phone
(810) 694-1042
Fax
(810) 694-1043
NPI assigned
Jan 25, 2007
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Overby, R.N.
Title
Administrator
Phone
(810) 694-1042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

9463 Holly Road
Suite 104
Grand Blanc, MI 48439-2557

Mailing address

9463 Holly Road
Suite 104
Grand Blanc, MI 48439-2557
Phone (810) 694-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000632 MI Part A Provider - Home Health Agency 6103929708 Practice locations: Grand Blanc, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689729873. Details of each certification follow.

Home health agency certification: CCN 237732

Legal name
ABSOLUTE HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 17, 2008
Last certification
Dec 27, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 29, 2006 in MI
Enrollment address
9463 Holly Rd 104
Grand Blanc, MI 48439-2557

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Absolute Home Health CareCCN 237732 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 17, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Absolute Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9463 Holly Rd
Grand Blanc, MI 48439

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine Overby Individual W-2 Managing EmployeeAdministrator Jul 27, 2015
Zakwan Aboudane Individual 5% Or Greater Direct Ownership Interest Nov 26, 2006 50%
Corporate OfficerCoo Nov 29, 2006 33.3%
Corporate DirectorBoard Member Nov 29, 2006 25%
Deema Hannan Individual 5% Or Greater Direct Ownership Interest Nov 29, 2006 50%
Corporate OfficerCeo Nov 29, 2006 33.3%
Corporate DirectorBoard Member Nov 26, 2006 25%
W-2 Managing EmployeeMarketing Manager Nov 29, 2006 33.3%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 30

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1689729873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9463 HOLLY ROAD",
            "address_2": "SUITE 104",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-694-1042",
            "fax_number": "810-694-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 HOLLY ROAD",
            "address_2": "SUITE 104",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-694-1042",
            "fax_number": "810-694-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-694-1042",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.