Organization Active NPI

Active Hands LLC

  • Health Maintenance Organization
  • Romeo, MI
National Provider Identifier
1609327436
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
E7486Y Issued in MI
Legal business name
ACTIVE HANDS LLC
Practice address
357 Prospect St
Romeo, MI 48065-4645
Phone
(586) 453-3786
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Tanerio Hill
Title
Ceo
Phone
(586) 453-3786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X E7486Y MI Primary

Addresses

Primary practice location

357 Prospect St
Romeo, MI 48065-4645

Mailing address

357 Prospect
Romeo, MI 48065

National Provider Directory

National Provider Directory
Tax ID family
Active Hands LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1609327436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 PROSPECT",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 PROSPECT ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654645",
            "telephone_number": "586-453-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TANERIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-453-3786"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "E7486Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.