Active Life Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACTIVE LIFE HOME CARE INC

Practice address

760 W. Lomita Blvd.
Suite 79
Harbor City, CA 90710

Phone

(310) 748-9390

Fax

(310) 847-6141

NPI assigned

Dec 21, 2018

Organization subpart

Yes

Parent organization

ACTIVE LIFE HOME CARE INC.As reported in NPPES

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

Authorized official

Name

Mr. Ariel Valladolid Cabral

Title

Administrator

Phone

(310) 748-9390

Specialties & licenses 1

Addresses

Part of

Active Life Home Care Inc

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1104398643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W. LOMITA BLVD.",
            "address_2": "SUITE 79",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-748-9390",
            "fax_number": "310-847-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W. LOMITA BLVD.",
            "address_2": "SUITE 79",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-748-9390",
            "fax_number": "310-847-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE HOME CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE LIFE HOME CARE INC.",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "VALLADOLID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-748-9390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam A. Abdelnaby, MD
• Christiana Abraham, NP
• Kamren Ackerman
• Bradley K. Ackerson, MD
• Active Health Concepts
• Olakitan Adegbesan
• Yossef Aelony, MD
• Affordable Healthcare Inc
• Lisa A. Agustines, MD
• Brian Akbari Ahangar, M.D.

• In Home Supportive Care Agency in Harbor City, CA
• Providers in Harbor City, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.