NPIMap

Organization Active NPI

Active Home Care Rehabilitation Services Inc

Doing business as n/a

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1356134258
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE HOME CARE REHABILITATION SERVICES INC
Doing business as
Active Home Care Rehabilitation Services INC
n/a
Practice address
9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856
Phone
(240) 238-1110
Fax
(240) 238-1112
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Infusion Therapy Clinic/Center 261QI0500X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856

Mailing address

9211 Corporate Blvd Ste 255
Rockville, MD 20850-3856
Phone (240) 238-1110

Other names 2

  • Active Home Care Rehabilitation Services INC Doing business as
  • n/a Doing business as

National Provider Directory

National Provider Directory

Locations

9211 Corporate Blvd
Ste 255
Rockville, MD 20850
Phone (240) 238-1110

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1356134258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 CORPORATE BLVD STE 255",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503856",
            "telephone_number": "240-238-1110",
            "fax_number": "240-238-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 CORPORATE BLVD STE 255",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503856",
            "telephone_number": "240-238-1110",
            "fax_number": "240-238-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Home Care Rehabilitation Services INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "n/a",
            "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 May 23, 2025; 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.