Active Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

LC001563927 Issued in MO

Legal business name

ACTIVE HEALTH, LLC

Doing business as

Active Health

Practice address

14449 Jamestown Bay Dr
Florissant, MO 63034-1743

Phone

(314) 397-3230

NPI assigned

Jan 22, 2018

Last updated

Jan 22, 2018By 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

Janet Perkins

Title

Director

Phone

(314) 397-3230

Specialties & licenses 1

Addresses

Other names 1

• Active Health Doing business as

Locations

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1225546484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 1ST CAPITOL DR UNIT 114",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633022105",
            "telephone_number": "314-397-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14449 JAMESTOWN BAY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341743",
            "telephone_number": "314-397-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-397-3230"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC001563927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.