Activate Home Health Care LLC

Organization Active NPI Home Health Agency · Las Vegas, NV

NPI 1134940489 · NPPES record last updated Oct 21, 2024

Key facts

NPI
1134940489
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ACTIVATE HOME HEALTH CARE LLC
Practice address
2626 S Rainbow Blvd Ste 203F
Las Vegas, NV 89146-4005
Phone
(702) 845-7292
Fax
(702) 209-0970
NPI assigned
Oct 21, 2024
Organization subpart
No

Authorized official

Name
Maria Rowena Medina De Guzman, BSN, RN, CCDS
Title
Administrator
Phone
(702) 845-7292

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Home health agency

Listed as
Activate Home Health Care LLC CCN 297378
Ownership
-
Certified
Jul 23, 2025
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV

Home health agency certification: CCN 297378

Legal name
ACTIVATE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 23, 2025
Last certification
Jul 10, 2025
Organization structure
LLC · Proprietary
Enrollment address
2626 S Rainbow Blvd
Ste 102
Las Vegas, NV 89146-5191

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Rowena de Guzman
Individual
5% Or Greater Direct Ownership Interest
Owner
Dec 17, 2024 100%
W-2 Managing Employee
Ad;
Dec 17, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250117001562 NV Part a Provider - Home Health Agency 5395274492 Practice locations: Las Vegas, NV

National Provider Directory

Locations

2626 S Rainbow Blvd
Ste 102
Las Vegas, NV 89146
Phone (702) 845-7292

2626 S Rainbow Blvd
Ste 203F
Las Vegas, NV 89146
Phone (702) 845-7292

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

2626 S Rainbow Blvd Ste 203F
Las Vegas, NV 89146-4005

Mailing address

2626 S Rainbow Blvd Ste 203F
Las Vegas, NV 89146-4005
Phone (702) 845-7292

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Agency in Nevada

Sources for this page

Verify at the official NPI Registry.