1235484411 NPI number — ABSOLUTE BEST CARE HOME HEALTH INC

Table of content: (NPI 1235484411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235484411 NPI number — ABSOLUTE BEST CARE HOME HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABSOLUTE BEST CARE HOME HEALTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235484411
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 SACRAMENTO INN WAY
Provider Second Line Business Mailing Address:
SUITE 134
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95815-3457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-928-8020
Provider Business Mailing Address Fax Number:
916-928-8026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4030 TRUXEL RD
Provider Second Line Business Practice Location Address:
SUITE C4
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95834-3767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-896-9100
Provider Business Practice Location Address Fax Number:
702-974-0888
Provider Enumeration Date:
07/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
LIM
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
702-883-5888

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com