Active Assist Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0270200 Issued in NJ

Legal business name

ACTIVE ASSIST HOME CARE SERVICES LLC

Practice address

11 Enterprise CT Unit 8
Sewell, NJ 08080-4112

Phone

(856) 374-1580

Fax

(856) 374-1112

NPI assigned

Jan 29, 2018

Organization subpart

No

Name

Michelle T Tucker

Title

Owner

Phone

(856) 374-1580

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508364266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TREELINE DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080966688",
            "telephone_number": "856-374-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ENTERPRISE CT UNIT 8",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804112",
            "telephone_number": "856-374-1580",
            "fax_number": "856-374-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Treeline Dr",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080966688",
            "country_code": "US",
            "telephone_number": "856-374-1580",
            "fax_number": "856-374-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE ASSIST HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-374-1580"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0270200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.