Proactive Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHAS-059 Issued in DE

Legal business name

PROACTIVE HEALTHCARE SERVICES, LLC

Practice address

5700 Kirkwood Hwy
Suite 105a
Wilmington, DE 19808-4857

Phone

(877) 452-9944

Fax

(302) 370-5002

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Miss Racheal Christiana Bundor, LPN

Title

President

Phone

(877) 451-9944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1932583267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 KIRKWOOD HWY",
            "address_2": "SUITE 105 A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084857",
            "telephone_number": "877-451-9944",
            "fax_number": "484-540-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 KIRKWOOD HWY",
            "address_2": "SUITE 105A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084857",
            "telephone_number": "877-452-9944",
            "fax_number": "302-370-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BUNDOR",
        "authorized_official_first_name": "RACHEAL",
        "authorized_official_middle_name": "CHRISTIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "18774519944",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": "HHAS-059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wilmington, DE
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• Home Health Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.