Organization Active NPI

Activa Home Health Care, Inc.

Doing business as Activa Home Health Care

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1245532803
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACTIVA HOME HEALTH CARE, INC.
Doing business as
Activa Home Health Care
Practice address
431 E Grubb Dr
Mesquite, TX 75149-2534
Phone
(214) 514-7776
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mr. Soman Thomas Chennankara
Title
Administrator
Phone
(214) 514-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

431 E Grubb Dr
Mesquite, TX 75149-2534

Mailing address

431 E Grubb Dr
Mesquite, TX 75149-2534
Phone (214) 514-7776

Other names 1

  • Activa Home Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1245532803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E GRUBB DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492534",
            "telephone_number": "214-514-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E GRUBB DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492534",
            "telephone_number": "214-514-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CHENNANKARA",
        "authorized_official_first_name": "SOMAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-514-7776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activa Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.