Actify Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991267 Issued in FL

Legal business name

ACTIFY HOME CARE, INC

Practice address

2005 NW 62ND St Ste 206
Fort Lauderdale, FL 33309-1835

Phone

(954) 902-6049

Fax

(954) 902-6159

NPI assigned

Aug 23, 2006

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yehuda Wasser, PTNPI 1144536905

Title

Ceo

Phone

(954) 902-6049

Specialties & licenses 3

Addresses

Other names 1

• Nursing Concepts Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144337577. Details of each certification follow.

• CCN 108079 Home health agency · Active · Details

Home health agency certification: CCN 108079

Legal name

ACTIFY HOME CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 6, 2004

Last certification

Jun 7, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2005 NW 62ND St
Ste 206
Fort Lauderdale, FL 33309-1835

Listed as

Actify Home Care, Inc.CCN 108079 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jul 6, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yehuda Wasser, PT

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1144536905
  NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1144337577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 NW 62ND ST STE 206",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091835",
            "telephone_number": "954-902-6049",
            "fax_number": "954-902-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 NW 62ND ST STE 206",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091835",
            "telephone_number": "954-902-6049",
            "fax_number": "954-902-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Linton Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846537",
            "country_code": "US",
            "telephone_number": "561-902-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIFY HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "WASSER",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-902-6049",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991267",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing Concepts Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.