Organization Active NPI

Activa Home Health Services LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1811670573
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACTIVA HOME HEALTH SERVICES LLC
Practice address
2900 Louisiana Blvd Ste B1
Albuquerque, NM 87110-3564
Phone
(505) 362-7977
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Roselle OstendorfNPI 1669504643
Title
Ambr
Phone
(505) 362-7977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2900 Louisiana Blvd Ste B1
Albuquerque, NM 87110-3564

Mailing address

PO Box 11099
Albuquerque, NM 87192-0099
Phone (505) 362-7977

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2295478Activa Home Health Services LLC2900 Louisiana Blvd NE Suite 260, Albuquerque, NM 87110Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1811670573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11099",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871920099",
            "telephone_number": "505-362-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103564",
            "telephone_number": "505-362-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "OSTENDORF",
        "authorized_official_first_name": "ROSELLE",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "505-362-7977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.