ACTIVE HOME HEALTH INC (NPI# 1336401959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336401959 |
| Entity Type | Organization |
| Organization Name | ACTIVE HOME HEALTH INC |
| Practice Address |
2970 Maria Ave, Suite 210 Northbrook IL 60062 |
| Practice Telephone | 8475673937 |
| Practice Fax Number | 8475649160 |
| Mailing Telephone | 8475673937 |
| Mailing Fax Number | 8475649160 |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | MRS. SOPHIA FUNKENSHTEIN (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 8475649999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2970 MARIA AVE, SUITE 210 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1639594559 | Ssanjjemma Care Provider Inc. | Home Health | 3622 Salem Walk Apt A2, Northbrook, IL 60062-7331 | 2014-02-28 |
| 1790113496 | Vita Health Care Inc. | Home Health | 342 Anthony Trl, Northbrook, IL 60062-2014 | 2013-10-16 |
| 1053680165 | Sycamore Nursing Agency | Home Health | 2970 Maria Ave Ste 102a, Northbrook, IL 60062-2023 | 2011-12-19 |
| 1417258922 | Solaris Home Healthcare Inc | Home Health | 3330 Dundee Road, N4, Northbrook, IL 60062 | 2010-11-15 |
| 1518108703 | Cardinal Homehealth Inc | Home Health | 3340 Dundee Rd Ste 2c2-1, Northbrook, IL 60062-2339 | 2009-03-17 |
| 1407933914 | Wellcare Home Health Inc | Home Health | 3605 Woodhead Dr, Suite 107, Northbrook, IL 60053 | 2006-11-01 |
| 1851487854 | Providence Home Health Care, Inc | Home Health | 425 Huehl Rd Bldg 20, Northbrook, IL 60062-2322 | 2006-10-05 |
| 1447367800 | Advanta Home Health Care, Inc. | Home Health | 1500 Skokie Blvd, Suite 410, Northbrook, IL 60062-4121 | 2006-08-23 |
| 1972533966 | Progressive Home Health Care Inc. | Home Health | 601 Skokie Blvd, Suite 303, Northbrook, IL 60062-2851 | 2006-07-04 |
| 1225089006 | In Home Health LLC | Home Health | 2100 Sanders Rd, Suite 100, Northbrook, IL 60062-6139 | 2006-05-15 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.