NPIMap

Organization Active NPI

Activa Homecare LLC

  • Nursing Care Agency
  • Boynton Beach, FL
National Provider Identifier
1801160908
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ACTIVA HOMECARE LLC
Practice address
1501 Corporate Dr
Suite 270
Boynton Beach, FL 33426-6600
Phone
(561) 572-3777
Fax
(561) 207-7843
NPI assigned
Mar 7, 2012
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Mr. Jonathan Fedele
Title
Ceo
Phone
(561) 819-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1501 Corporate Dr
Suite 270
Boynton Beach, FL 33426-6600

Mailing address

1501 Corporate Dr
Suite 270
Boynton Beach, FL 33426-6600
Phone (561) 572-3777

National Provider Directory

National Provider Directory
Tax ID family
Activa Homecare2 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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1801160908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR",
            "address_2": "SUITE 270",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-572-3777",
            "fax_number": "561-207-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR",
            "address_2": "SUITE 270",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-572-3777",
            "fax_number": "561-207-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "FEDELE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-819-0460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.