Organization Active NPI

Absolute Home Health III LLC

  • Home Health Agency
  • South Pasadena, FL
National Provider Identifier
1225644164
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABSOLUTE HOME HEALTH III LLC
Practice address
1813 Shore Dr S Ste 3
South Pasadena, FL 33707-4701
Phone
(813) 230-0073
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Ethel M Kamga, RN
Title
Owner
Phone
(813) 230-0073

Specialties & licenses 1

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

Addresses

Primary practice location

1813 Shore Dr S Ste 3
South Pasadena, FL 33707-4701

Mailing address

1813 Shore Dr S Ste 3
South Pasadena, FL 33707-4701
Phone (813) 230-0073

National Provider Directory

National Provider Directory

Locations

1813 Shore Dr S
Ste 3
South Pasadena, FL 33707
Phone (813) 230-0073

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1225644164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 3",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-230-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 3",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-230-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HOME HEALTH III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "KAMGA",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-230-0073",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.