ABSOLUTE CARE WELLEBY INC — NPI 1942643259 (Licensed & Credentialed Health Maintenance Organization in SUNRISE, FL)

CMS-1500 Box 24J / 33a • NPI

1942643259

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

302R00000X

Licensed & Credentialed Health Maintenance Organization

Box 32 Service Location & ZIP+4

3621 NW 90TH TER, SUNRISE, FL, 33351-6470

✓ 9-Digit EDI 837 ZIP+4 (33351-6470)

Practice Phone & Referral Fax

(954) 747-7265

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942643259 (ABSOLUTE CARE WELLEBY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942643259` (NPI-2 Organization / Facility)
Provider / Legal Name	ABSOLUTE CARE WELLEBY INC
Plain-English Specialty	Licensed & Credentialed Health Maintenance Organization NUCC Code: `302R00000X` (Health Maintenance Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3621 NW 90TH TER, SUNRISE, FL, 33351-6470
Practice Telephone / Fax	Tel: (954) 747-7265
Administrative Mailing Address	14900 SW 27TH ST, DAVIE, FL, 33331-2604
Enumeration & Last Sync	Enumerated: 2013-04-17 \| CMS Record Updated: 2013-04-17
Authorized Official	NICHOLAS ROBERTS (owner/Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3621 NW 90TH TER, SUNRISE, FL, 33351-6470

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Plain-English Taxonomy & CMS Crosswalk (302R00000X)

What Does Taxonomy Code 302R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health Maintenance Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABSOLUTE CARE WELLEBY INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: FL \| License: `AL 8626` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABSOLUTE CARE WELLEBY INC (NPI #1942643259)