NPIMap

Organization Active NPI

Active Home Care Rehabilitation Services Inc

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1013813658
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ACTIVE HOME CARE REHABILITATION SERVICES INC
Practice address
9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856
Phone
(240) 542-4240
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Mr. Shadrack J Bampebuye
Title
President
Phone
(240) 542-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856

Mailing address

9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856
Phone (240) 542-4240

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1013813658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 CORPORATE BLVD STE 255",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503856",
            "telephone_number": "240-542-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 CORPORATE BLVD STE 255",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503856",
            "telephone_number": "240-542-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "BAMPEBUYE",
        "authorized_official_first_name": "SHADRACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-542-4240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.