NPIMap

Organization Active NPI

Absolute Home Care Inc.

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1710058573
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
20031450181 Issued in NV
Legal business name
ABSOLUTE HOME CARE INC.
Practice address
2860 E Flamingo Rd Ste K
Las Vegas, NV 89121-5270
Phone
(702) 318-5005
Fax
(702) 318-5006
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Mr. Edgar Valentin Jimenez
Title
Administrator
Phone
(702) 318-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 20031450181 NV Primary
Exclusive Provider Organization 302F00000X

Addresses

Primary practice location

2860 E Flamingo Rd Ste K
Las Vegas, NV 89121-5270

Mailing address

2860 E Flamingo Rd Suite K
Las Vegas, NV 89121
Phone (702) 318-5005

Other identifiers 2

IdentifierTypeStateIssuer
1710058573MedicaidNV
100500935MedicaidNV

Other names 1

  • Absolute Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Absolute Home Car3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1710058573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 E FLAMINGO RD SUITE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-318-5005",
            "fax_number": "702-318-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E FLAMINGO RD STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215270",
            "telephone_number": "702-318-5005",
            "fax_number": "702-318-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "VALENTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-318-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "20031450181",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710058573",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500935",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Absolute Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.