Organization Active NPI

Active Home Care Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Rockville, MD
National Provider Identifier
1407531205
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTIVE HOME CARE SERVICES INC
Practice address
1700 Rockville Pike Ste 270B
Rockville, MD 20852-1677
Phone
(240) 542-4240
Fax
(240) 542-4047
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Shadrack Joram Bampebuye
Title
Authorized Official
Phone
(301) 683-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1700 Rockville Pike Ste 270B
Rockville, MD 20852-1677

Mailing address

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

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

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

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1407531205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 270B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521677",
            "telephone_number": "240-542-4240",
            "fax_number": "240-542-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 270B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521677",
            "telephone_number": "240-542-4240",
            "fax_number": "240-542-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BAMPEBUYE",
        "authorized_official_first_name": "SHADRACK",
        "authorized_official_middle_name": "JORAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-683-4270"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 19, 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.