Active Home Care LLC
Organization Active NPI In Home Supportive Care Agency · Boardman, OH
NPI 1053787945 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1053787945
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Carrie Lynn Ritzler
- Title
- Ceo
- Phone
- (330) 501-2418
Practitioners 1
National Provider Directory
Locations
721 Boardman Poland Rd
Ste 102
Boardman, OH 44512
Phone (330) 501-2418
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
721 Boardman Poland Rd
Ste 102
Boardman, OH 44512-5107
Mailing address
60 Meadowbrook Cir
Apt 3
New Middletown, OH 44442-9767
Phone (330) 501-2418
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All providers in Boardman, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.