Organization Active NPI

Active Ma, Inc.

Doing business as Active Home Care

  • Home Health Agency
  • Raynham, MA
National Provider Identifier
1467596056
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACTIVE MA, INC.
Doing business as
Active Home Care
Practice address
1470 New State Highway
Raynham Market Place, Unit 17
Raynham, MA 02767
Phone
(508) 291-0752
Fax
(508) 291-7437
NPI assigned
Feb 16, 2007
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Matthew Nehoda
Title
Vice President of Finance
Phone
(215) 642-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1470 New State Highway
Raynham Market Place, Unit 17
Raynham, MA 02767

Mailing address

6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600

Other names 1

  • Active Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Ma Inc13 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 12

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

Locations

1470 New State Hwy
Unit 17
Raynham, MA 02767
Phone (508) 291-0752

191 Main St
Ste 211
Wareham, MA 02571

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1467596056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX DR",
            "address_2": "SUITE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536964",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NEW STATE HIGHWAY",
            "address_2": "RAYNHAM MARKET PLACE, UNIT 17",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "02767",
            "telephone_number": "508-291-0752",
            "fax_number": "508-291-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "NEHODA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.