NPIMap

Organization Active NPI

Active Home Inc

  • In Home Supportive Care Agency
  • Rockville, MD
National Provider Identifier
1114672797
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACTIVE HOME INC
Practice address
1700 Rockville Pike Ste 422
Rockville, MD 20852-1631
Phone
(240) 542-4240
NPI assigned
Feb 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Authorized official

Name
Robby Kikaro
Title
Operations Director
Phone
(240) 542-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1700 Rockville Pike Ste 422
Rockville, MD 20852-1631

Mailing address

1700 Rockville Pike Ste 422
Rockville, MD 20852-1631
Phone (240) 542-4240

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL maliyatabu@icloud.com

National Provider Directory

National Provider Directory

Locations

1700 Rockville Pike
Ste 422
Rockville, MD 20852
Phone (240) 542-4240

NPI Registry JSON

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1114672797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 422",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521631",
            "telephone_number": "240-542-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 422",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521631",
            "telephone_number": "240-542-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "KIKARO",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "240-542-4240"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maliyatabu@icloud.com",
            "affiliation": "N",
            "address_1": "1700 Rockville Pike Ste 422",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208521631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; 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.