Active Care Services

Organization Active NPI In Home Supportive Care Agency · Panorama City, CA

NPI 1376794032 · NPPES record last updated Sep 30, 2008

Key facts

NPI
1376794032
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
0002167408-0001-1 (CA)
Legal business name
ACTIVE CARE SERVICES
Practice address
14747 Roscoe Blvd
#19
Panorama City, CA 91402-4145
Phone
(818) 920-7147
NPI assigned
Sep 30, 2008
Organization subpart
No

Authorized official

Name
Mr. Cecilio Chio Bana Jr.
Title
Owner
Phone
(818) 920-7147

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Active Care Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0002167408-0001-1 CA
In Home Supportive Care Agency 253Z00000X 0002167408-0001-1 CA Yes

Addresses

Primary practice location

14747 Roscoe Blvd
#19
Panorama City, CA 91402-4145

Mailing address

14747 Roscoe Blvd
#19
Panorama City, CA 91402-4145
Phone (818) 920-7147

Other names

  • PRO-ACTIVE CARE SERVICES Other name

Other providers in Panorama City, CA

All providers in Panorama City, CA · In Home Supportive Care Agency in California

Sources for this page

Verify at the official NPI Registry.