Organization Active NPI

Active Quality Care Inc

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1063708121
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2962 Issued in MD
Legal business name
ACTIVE QUALITY CARE INC
Practice address
1 Flinn CT Apt 1B
Baltimore, MD 21244-3593
Phone
(410) 901-7694
Fax
(410) 521-0579
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Carol Otta Edenojie
Title
Administrator
Phone
(410) 901-7694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2962 MD Primary

Addresses

Primary practice location

1 Flinn CT Apt 1B
Baltimore, MD 21244-3593

Mailing address

1 Flinn CT Apt 1B
Baltimore, MD 21244-3593
Phone (410) 901-7694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1063708121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLINN CT APT 1B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443593",
            "telephone_number": "410-901-7694",
            "fax_number": "410-521-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLINN CT APT 1B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443593",
            "telephone_number": "410-901-7694",
            "fax_number": "410-521-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE QUALITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "EDENOJIE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "OTTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-901-7694"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.