ACTIVA HOMECARE, LLC (NPI# 1891043527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891043527 |
| Entity Type | Organization |
| Organization Name | ACTIVA HOMECARE, LLC |
| Other Organization Name | ACTIVA HOMECARE |
| Practice Address |
5850 Coral Ridge Dr 105 Coral Springs FL 33076-3378 |
| Mailing Address |
1501 Corporate Dr Suite 270 Boynton Beach FL 33426-6600 |
| Practice Telephone | 9543441761 |
| Practice Fax Number | 9546882958 |
| Mailing Telephone | 9549071800 |
| Mailing Fax Number | 5612077781 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | MR. JONATHAN FEDELE (CEO) |
| Authorized Official Telephone | 5618190460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Activa Homecare | Doing Business As Name - Organization |
| Street Address |
5850 CORAL RIDGE DR 105 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33076-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801864137 | Michael Preston Zahalsky | Specialist | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2006-03-11 |
| 1891204525 | Jeimy P Glaze | Physician Assistant | 5850 Coral Ridge Dr, Coral Springs, FL 33076-3378 | 2017-09-26 |
| 1184074379 | Care Centered LLC | Clinic/Center | 5850 Coral Ridge Dr, Suite 302, Coral Springs, FL 33076-3378 | 2016-06-17 |
| 1629496286 | Heather Schwartzmann | Physician Assistant | 5850 Coral Ridge Dr, Coral Springs, FL 33076-3378 | 2014-04-01 |
| 1801135561 | Jacquelyn Lee White | Physician Assistant | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2013-01-31 |
| 1326332206 | Michael Tyler | Urology | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2011-06-08 |
| 1548428667 | Mini Varghese | Urology | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2008-05-27 |
| 1598884496 | Christopher Philip Hollowell | Urology | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2007-03-29 |
| 1821142142 | Michael P. Zahalsky, Md Pa | Urology | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2007-01-23 |
| 1518906940 | Virtuox, Inc. | Clinic/Center | 5850 Coral Ridge Dr, Suite 304, Coral Springs, FL 33076-3378 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1730709692 | Zach Carl Rice | Counselor | 12155 Nw, 71st, Parkland, FL 33076 | 2020-04-21 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1295205359 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4621 Coral Ridge Dr., Coral Springs, FL 33076 | 2018-12-03 |
| 1497263636 | Nathalie Toro | Behavioral Analyst | 7796 Nw 110th Dr., Parkland, FL 33076 | 2018-01-22 |
| 1124532668 | Melissa Danielle Winter | Developmental Therapist | 8191 Canopy Ter, Parkland, FL 33076 | 2017-11-20 |
| 1821510546 | Sheryl Santiago Delgado | Physical Therapist | 4789 Nw 116th Ter, Coral Springs, FL 33076 | 2017-07-14 |
| 1730600453 | Ieda Schumacher Faircloth | Surgery | 4811 Nw 103 Drive, Coral Springs, FL 33076 | 2017-07-03 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1508313578 | Paola Alejandra Kesman | Dentist | 11980 Nw 81 Court, Parkland, FL 33076 | 2016-09-07 |
| Find all providers in zip 33076 | ||||
| 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 |
|---|---|---|---|---|
| 1164037156 | Gentle Touch Adult Healthcare LLC | Home Health | 8500 Nw 40th St Apt 6, Coral Springs, FL 33065-2936 | 2020-09-15 |
| 1013528132 | Procare | Home Health | 7438 Wiles Rd, Coral Springs, FL 33067-2066 | 2020-08-12 |
| 1598375651 | E and A Medical On The Go Healthcare of South Florida LLC | Home Health | 4745 Nw 114th Dr, Coral Springs, FL 33076-2153 | 2020-08-04 |
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1871136416 | Peniel Home Care LLC | Home Health | 5551 Nw 125th Ter, Coral Springs, FL 33076-3432 | 2019-10-28 |
| 1215493457 | Simplicity Care of South Florida LLC | Home Health | 10100 W Sample Rd Fl 3, Coral Springs, FL 33065-3975 | 2019-02-12 |
| 1942766381 | Latrisha Baker | Home Health | 8601 Nw 35th St Apt 2, Coral Springs, FL 33065-4324 | 2019-02-11 |
| 1417426107 | Care & Beyond Nurse Registry | Home Health | 6280 W Sample Rd Ste 207b, Coral Springs, FL 33067-3173 | 2018-11-25 |
| 1174022321 | Kimberly N Sanders | Home Health | 2462 Nw 91st Ave, Coral Springs, FL 33065-5113 | 2018-02-02 |
| 1932637964 | Roniesha Hawkins | Home Health | 2501 Riverside Dr Apt 413, Coral Springs, FL 33065-5559 | 2017-06-04 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33076 |
Please comment or provide details below to improve the information on ACTIVA HOMECARE, LLC.
| 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.