Active Home Health SVC., Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000943 Issued in CA

Legal business name

ACTIVE HOME HEALTH SVC., INC.

Practice address

6481 Orangethorpe Ave
Suite 3
Buena Park, CA 90620-1376

Phone

(714) 994-1534

Fax

(714) 994-1564

NPI assigned

Jan 9, 2007

Last updated

Sep 8, 2016By 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

Mr. Romeo Ang

Title

Cfo/Secretary

Phone

(714) 994-1534

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1942359146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 ORANGETHORPE AVE",
            "address_2": "SUITE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201376",
            "telephone_number": "714-994-1534",
            "fax_number": "714-994-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 ORANGETHORPE AVE",
            "address_2": "SUITE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201376",
            "telephone_number": "714-994-1534",
            "fax_number": "714-994-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME HEALTH SVC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "714-994-1534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "060000943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.