NPIMap

Organization Active NPI

Absolute Care Welleby Inc

Doing business as Absolute Care Assisted Living at Welleby

  • Health Maintenance Organization
  • Sunrise, FL
National Provider Identifier
1942643259
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AL 8626 Issued in FL
Legal business name
ABSOLUTE CARE WELLEBY INC
Doing business as
Absolute Care Assisted Living at Welleby
Practice address
3621 NW 90TH Ter
Sunrise, FL 33351-6470
Phone
(954) 747-7265
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mr. Nicholas Roberts
Title
Owner/Administrator
Phone
(954) 249-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AL 8626 FL Primary

Addresses

Primary practice location

3621 NW 90TH Ter
Sunrise, FL 33351-6470

Mailing address

14900 SW 27TH St
Davie, FL 33331-2604

Other names 1

  • Absolute Care Assisted Living at Welleby Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1942643259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SW 27TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 NW 90TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516470",
            "telephone_number": "954-747-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE CARE WELLEBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-249-1624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AL 8626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Care Assisted Living at Welleby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.