Organization Active NPI

Absolute Home Health, Inc.

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1518265644
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABSOLUTE HOME HEALTH, INC.
Practice address
3656 Ruffin Rd Ste a
San Diego, CA 92123-1837
Phone
(858) 541-0000
Fax
(858) 541-2011
NPI assigned
Mar 15, 2011
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Oleg Sherif
Title
Ceo
Phone
(858) 541-2000

Specialties & licenses 1

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

Addresses

Primary practice location

3656 Ruffin Rd Ste a
San Diego, CA 92123-1837

Mailing address

3656 Ruffin Rd Ste a
San Diego, CA 92123-1837
Phone (858) 541-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000012 CA Part A Provider - Home Health Agency 6204097801 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518265644. Details of each certification follow.

Home health agency certification: CCN 059447

Legal name
ABSOLUTE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2012
Last certification
Jun 22, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 13, 2011 in CA
Enrollment address
4740 Murphy Canyon Rd
Ste 222
San Diego, CA 92123-4376
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Absolute Home Health IncCCN 059447 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Nov 26, 2012
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

Locations

3656 Ruffin Rd
Ste A
San Diego, CA 92123
Phone (858) 541-0000

4740 Murphy Canyon Rd
Ste 222
San Diego, CA 92123
Phone (858) 541-2000

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Oleg Sherif Individual 5% Or Greater Direct Ownership InterestOwner Jan 13, 2011 100%
Corporate OfficerCeo, Governing Body Jan 13, 2011 100%
Corporate DirectorCeo, Governing Body, Board Membe Jan 13, 2011 100%
W-2 Managing EmployeeCeo, Governing Body, Adminis. Jan 13, 2011 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1518265644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 RUFFIN RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231837",
            "telephone_number": "858-541-2000",
            "fax_number": "858-541-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 RUFFIN RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231837",
            "telephone_number": "858-541-0000",
            "fax_number": "858-541-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "SHERIF",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-541-2000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.