Active Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACTIVE HOME CARE SERVICES LLC

Practice address

5006 Lenker St Ste 108
Mechanicsburg, PA 17050-3203

Phone

(717) 963-7956

Fax

(717) 963-7832

NPI assigned

Nov 5, 2018

Last updated

Sep 13, 2019By the provider in NPPES

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

Operations Manager

Phone

(202) 763-2290

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1750859088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 LENKER ST STE 108",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503203",
            "telephone_number": "717-963-7956",
            "fax_number": "717-963-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 LENKER ST STE 108",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503203",
            "telephone_number": "717-963-7956",
            "fax_number": "717-963-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "BAMPEBUYE",
        "authorized_official_first_name": "SHADRACK",
        "authorized_official_middle_name": "JORAM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "202-763-2290"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Achilles
• Devin Acito
• Patricia Acker-Bailey
• Jonathan William Acker, CRNP
• Ercol Oscar Acri Jr., DC
• Elizabeth M Adams, PT, DPT
• Megan Elizabeth Adamski, LSW
• Lynn Ellen Addie, CRNP
• Admire Home Care LLC
• Advanced Dermatology and Skin Surgery

• Home Health Agency in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.