Active Infusions Inc

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

ACTIVE INFUSIONS INC

Practice address

14502 Greenview Dr Ste 360
Laurel, MD 20708-4232

Phone

(240) 200-4464

Fax

(410) 747-1866

NPI assigned

May 25, 2022

Last updated

Jul 30, 2024By 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

Leyla HendersonNPI 1033605753

Title

President

Phone

(240) 200-4464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eberechukwu Nwaogu, FNP-BC

  • Family Nurse Practitioner
  • Laurel, MD
  • NPI 1831522176

  DC

  Medicare reassignment NPD
• Leyla M Henderson

  • Infusion Therapy Registered Nurse
  • Laurel, MD
  • NPI 1033605753

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1437897899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 360",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084232",
            "telephone_number": "240-200-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 360",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084232",
            "telephone_number": "240-200-4464",
            "fax_number": "410-747-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 Leesburg Pike Ste 700",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822641",
            "country_code": "US",
            "telephone_number": "240-200-4464",
            "fax_number": "240-892-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE INFUSIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-200-4464"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033605753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Laurel, MD
• Providers in Laurel, MD by specialty
• Infusion Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.