NPIMap

Organization Active NPI

Active Home Care Services Inc

  • Physical Therapy Clinic/Center
  • Rockville, MD
National Provider Identifier
1235778762
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVE HOME CARE SERVICES INC
Doing business as
Active Home Care Services Inc
Practice address
1700 Rockville Pike
Rockville, MD 20852-1631
Phone
(240) 542-4240
NPI assigned
Jan 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Shadrack Joram Bampebuye
Title
Ceo
Phone
(202) 763-2290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1700 Rockville Pike
Rockville, MD 20852-1631

Mailing address

1700 Rockville Pike Ste 270a
Rockville, MD 20852-1677
Phone (240) 542-4240

Other names 1

  • ACTIVE HOME CARE SERVICES INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Home Care Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4600 Powder Mill Rd
Ste 20705
Beltsville, MD 20705

1700 Rockville Pike
Rockville, MD 20852
Phone (202) 763-2290

1700 Rockville Pike
Ste 270A
Rockville, MD 20852

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1235778762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 270A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521677",
            "telephone_number": "240-542-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521631",
            "telephone_number": "240-542-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BAMPEBUYE",
        "authorized_official_first_name": "SHADRACK",
        "authorized_official_middle_name": "JORAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-763-2290"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE HOME CARE SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACTIVE HOME CARE SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.