Activa Healthcare Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACTIVA HEALTHCARE INCORPORATED

Practice address

610 Murphy Rd
Suite 211
Stafford, TX 77477-5926

Phone

(713) 866-4050

Fax

(713) 866-4050

NPI assigned

Aug 17, 2011

Last updated

Mar 9, 2017By 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

Ms. Modupe Joyce Shonde

Title

Administrator

Phone

(713) 866-4050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1760762181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MURPHY RD",
            "address_2": "SUITE 211",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775926",
            "telephone_number": "713-866-4050",
            "fax_number": "713-866-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MURPHY RD",
            "address_2": "SUITE 211",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775926",
            "telephone_number": "713-866-4050",
            "fax_number": "713-866-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "SHONDE",
        "authorized_official_first_name": "MODUPE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-866-4050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Stafford, TX
• Providers in Stafford, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.