Active HH, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ACTIVE HH, INC

Practice address

1700 Rockville Pike Ste 270
Rockville, MD 20852-1677

Phone

(202) 763-2290

Fax

(240) 542-4047

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Shadrack Joram Bampebuye

Title

Ceo

Phone

(202) 763-2290

Specialties & licenses 2

Addresses

Other names 1

• Active HH, INC Other name

Locations

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1700617214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 270",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521677",
            "telephone_number": "202-763-2290",
            "fax_number": "240-542-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROCKVILLE PIKE STE 270",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521677",
            "telephone_number": "202-763-2290",
            "fax_number": "240-542-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BAMPEBUYE",
        "authorized_official_first_name": "SHADRACK",
        "authorized_official_middle_name": "JORAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-763-2290"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active HH, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nursing Care Agency in Rockville, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.