Active Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

08-006656-1 Issued in IN

Legal business name

ACTIVE HOME HEALTH CARE, LLC

Practice address

2116 45TH St
Highland, IN 46322-3742

Phone

(219) 922-0814

Fax

(219) 922-0652

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By 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

Mrs. Rosita Canono, BSN, RN

Title

Administrator, Director of Nursing

Phone

(219) 922-0814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1376708123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223742",
            "telephone_number": "219-922-0814",
            "fax_number": "219-922-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223742",
            "telephone_number": "219-922-0814",
            "fax_number": "219-922-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "CANONO",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_title_or_position": "ADMINISTRATOR, DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "219-922-0814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "08-006656-1",
            "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 Jul 22, 2008; 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.