Active Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACTIVE HOME CARE LLC

Practice address

721 Boardman Poland Rd
Ste 102
Boardman, OH 44512-5107

Phone

(330) 501-2418

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Lynn RitzlerNPI 1801260591

Title

Ceo

Phone

(330) 501-2418

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Lynn Ritzler

  • Homemaker
  • New Middletown, OH
  • NPI 1801260591
  NPD (past) Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1053787945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MEADOWBROOK CIR",
            "address_2": "APT 3",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444429767",
            "telephone_number": "330-501-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BOARDMAN POLAND RD",
            "address_2": "STE 102",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125107",
            "telephone_number": "330-501-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "RITZLER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-501-2418"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.