Absolute Care of Hammond, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ABSOLUTE CARE OF HAMMOND, INC.

Practice address

534 Conkey St
2
Hammond, IN 46324-1100

Phone

(219) 933-8157

Fax

(219) 933-8273

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis Bernadette Lark

Title

Owner

Phone

(219) 933-8157

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Absolute Care of Hammond 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.

• Absolute Care of Hammond, Inc.

  • Case Management Agency
  • Hammond, IN
  • NPI 1417085382
  NPD tax ID

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1225228281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CONKEY ST",
            "address_2": "2",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241100",
            "telephone_number": "219-933-8157",
            "fax_number": "219-933-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CONKEY ST",
            "address_2": "2",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241100",
            "telephone_number": "219-933-8157",
            "fax_number": "219-933-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE CARE OF HAMMOND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "LARK",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-933-8157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200861750A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200861760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abc Pediatriacs, PC
• Almaz Abdyrakov, M.D.
• Absolute Care of Hammond, Inc.
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Ace Children's Health Clinic
• Ace Foster Care and Pediatric Home Nursing Agency (Ace Pediatric Home Nursing Agency)
• Lawrence Lyn Adams, D.D.S.

• Case Manager/Care Coordinator in Hammond, IN
• Providers in Hammond, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.