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
Affiliated clinicians 1
Medicare Care Compare: Home health agency
- Listed as
- Activate Home Health Care LLC
- Ownership
- -
- Certified
- Jul 23, 2025
- Medicare certification status
- Active
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
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Rowena de Guzman |
5% Or Greater Direct Ownership Interest |
Dec 17, 2024 | 100% |
| W-2 Managing Employee |
Dec 17, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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- Activate Healthcare - CHC Nellis
- Activate Wound Care LLC
- Active Behavioral Health, LLC
- Active Body Chiropractic
- Active Health Chiropractic LLC
- Active Home Healthcare LLC
All providers in Las Vegas, NV · Home Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.