ACTIVE HOME CARE INC. (NPI# 1174935134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174935134 |
| Entity Type | Organization |
| Organization Name | ACTIVE HOME CARE INC. |
| Practice Address |
2565 N Toledo Blade Blvd North Port FL 34289-9306 |
| Practice Telephone | 9415648621 |
| Practice Fax Number | 9414293322 |
| Mailing Telephone | 9415648621 |
| Mailing Fax Number | 9414293322 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | MR. JUSTIN CODY WILLIS (PRESIDENT) |
| Authorized Official Telephone | 9415648621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2565 N TOLEDO BLADE BLVD |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34289-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1992328819 | Jennifer Charles | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1902429855 | Dominique M Poulter | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1619504891 | Brittany Rivera | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-03-26 |
| 1649805227 | Rebecca Orre | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-03-04 |
| 1649813866 | Stefanie M Limona | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2019-10-21 |
| 1740830884 | Savanna Spagnoli | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2019-09-19 |
| 1760031264 | Amber Ledford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1649538281 | Lisa Beth Gussin | Counselor | 2562 Commerce Parkway, North Port, FL 34289 | 2012-05-02 |
| 1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
| 1710119177 | North Port Oral Surgery Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2009-08-19 |
| 1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
| 1588820195 | Sheri Chejlyk | Social Worker | 2562 Commerce Pkwy, North Port, FL 34289-9328 | 2008-08-03 |
| 1417294810 | Randy L Walchle | Counselor | 2562 Commerce Pkwy, North Port, FL 34289-9328 | 2013-01-07 |
| 1932515376 | Imagine Neuromuscular Therapy Center Inc | Specialist | 2568 Commerce Pkwy, North Port, FL 34289-9329 | 2014-07-07 |
| Find all providers in zip 34289 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962955336 | M Home Care LLC | Home Health | 7349 Paragon Rd, North Port, FL 34291-5748 | 2016-08-02 |
| 1003255100 | Southwest Florida Home Healthcare Inc | Home Health | 3162 Cordova Ter, North Port, FL 34291-6228 | 2013-06-21 |
| 1326390683 | Carline Elizabeth Proux | Home Health | 4929 Hungary Rd, North Port, FL 34288-8744 | 2012-10-11 |
| 1932146776 | Port Charlotte Hma LLC | Home Health | 15121 Tamiami Trl, North Port, FL 34287-2711 | 2006-06-01 |
| 1992753768 | Housecall Home Health, LLC | Home Health | 14236 Tamiami Trl, North Port, FL 34287 | 2006-05-04 |
| 1205893633 | Personal Choice Home Health Services,inc. | Home Health | 5400 S Biscayne Dr, F, North Port, FL 34287-1932 | 2006-04-28 |
| 1215268016 | Miracle Care Home Health Agency Corp. | Home Health | 5400 S Biscayne Dr, Suite D, North Port, FL 34287-1932 | 2010-01-19 |
| 1811168529 | Amedisys South Florida, L.L.C. | Home Health | 15121 Tamiami Trl, Suite F, North Port, FL 34287-2711 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34289 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.