Active Home Healthcare LLC.

Organization Active NPI Home Health Agency · Stafford, VA

NPI 1457017378 · NPPES record last updated Nov 15, 2021

Key facts

NPI
1457017378
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ACTIVE HOME HEALTHCARE LLC.
Practice address
3 Justin CT
Stafford, VA 22554-7676
Phone
(337) 802-5764
NPI assigned
Nov 15, 2021
Organization subpart
No

Authorized official

Name
Tiwaunda Joseph NPI 1346905460
Title
Administrative
Phone
(337) 802-5764

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

3 Justin CT
Stafford, VA 22554-7676

Mailing address

3 Justin CT
Stafford, VA 22554-7676
Phone (337) 802-5764

Other names

  • Active Home Healthcare LLC. Doing business as

Other providers in Stafford, VA

All providers in Stafford, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.