Activa Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACTIVA HOME HEALTHCARE LLC

Practice address

2900 Louisiana Blvd NE Ste B1
Albuquerque, NM 87110-3564

Phone

(505) 362-7977

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Roselle OstendorfNPI 1669504643

Title

President/Admin

Phone

(505) 362-7977

Specialties & licenses 2

Addresses

Practitioners 1

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

• Roselle Garcia Ostendorf, PT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1669504643
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1821799883",
    "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 NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103564",
            "telephone_number": "505-362-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "OSTENDORF",
        "authorized_official_first_name": "ROSELLE",
        "authorized_official_title_or_position": "PRESIDENT/ADMIN",
        "authorized_official_telephone_number": "505-362-7977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Frances Acquisto, PH.D.
• Kaylyn Acree, MOTRL
• Lindsay Acree
• Action Works
• Activa Home Health Services LLC
• Active Advocates of New Mexico LLC
• Active Chiropractic Spine & Joint Center, LLC
• Active Life Orthotics and Prosthetics Corp
• Active Pelvic Health and Wellness LLC
• Active Solutions Incorporated

• In Home Supportive Care Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.