Active NPI
Active Quality Care Inc
- Home Health Agency
- Baltimore, MD
National Provider Identifier
1063708121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R2962
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.