Organization Active NPI

Activecare

  • Emergency Response System Companies
  • Salt Lake City, UT
National Provider Identifier
1629346234
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
License
333300000X Issued in UT
Legal business name
ACTIVECARE
Practice address
4897 Lake Park Blvd Ste 140
Salt Lake City, UT 84120-8211
Phone
(801) 895-2640
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Mr. Mike Acton
Title
Cfo
Phone
(801) 895-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Response System Companies 333300000X 333300000X UT Primary

Addresses

Primary practice location

4897 Lake Park Blvd Ste 140
Salt Lake City, UT 84120-8211

Mailing address

4897 Lake Park Blvd Ste 140
Salt Lake City, UT 84120-8211
Phone (801) 895-2640

Other identifiers 1

IdentifierTypeStateIssuer
333300000XMedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Active Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4897 W Lake Park Blvd
Ste 140
Salt Lake City, UT 84120
Phone (801) 895-2640

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1629346234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 LAKE PARK BLVD STE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841208211",
            "telephone_number": "801-895-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 LAKE PARK BLVD STE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841208211",
            "telephone_number": "801-895-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "ACTON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-895-2640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "UT",
            "license": "333300000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333300000X",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.