Actuvate Healthcare LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

252Y00000X Issued in IN

Legal business name

ACTUVATE HEALTHCARE LLC

Practice address

6340 North Ewing St
Indianapolis, IN 46220

Phone

(312) 455-9200

NPI assigned

Nov 23, 2010

Organization subpart

No

Name

Debra Geihsler

Title

Principal

Phone

(312) 455-9200

Organizations that report the same tax identification number in the National Provider Directory.

• Activate Healthcare PC

  • Early Intervention Provider Agency
  • Indianapolis, IN
  • NPI 1396021010
  NPD tax ID

Tax ID family

Activate Healthcare PC (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2011.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1144522210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60642",
            "telephone_number": "312-455-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 NORTH EWING ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "312-455-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUVATE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "GEIHSLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "312-455-9200"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "252Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.