ACTIVE HOME CARE LLC (NPI# 1730312232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312232 |
| Entity Type | Organization |
| Organization Name | ACTIVE HOME CARE LLC |
| Practice Address |
5980 W 71st St Suite 203 Indianapolis IN 46278-2711 |
| Practice Telephone | 3173282866 |
| Practice Fax Number | 3175340578 |
| Mailing Telephone | 3173282866 |
| Mailing Fax Number | 3175340578 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | MR. RICHARD L JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 3173282866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 69000564A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200999000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053787945 | Active Home Care LLC | In Home Supportive Care | 721 Boardman Poland Rd, Ste 102, Boardman, OH 44512-5107 | 2015-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ACTIVE HOME CARE LLC | 60 Meadowbrook Circle Apt 3, New Middletown, OH 44442 |
| Street Address |
5980 W 71ST ST SUITE 203 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346373081 | Melvin Salazar Arbolado | Contractor | 5980 W 71st St, Suite 201, Indianapolis, IN 46278-2711 | 2007-03-13 |
| 1215481874 | Phuong Le | Registered Nurse | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2016-08-11 |
| 1376096453 | Erwin Fortuno | Physical Therapist | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2016-07-26 |
| 1275986325 | Catherine Cobrado | Physical Therapist | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2016-07-13 |
| 1669822698 | Edward Jaucian | Physical Therapist | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2016-06-21 |
| 1295183630 | Catherine Manliguis | Physical Therapist | 5980 W 71st St, Indianapolis, IN 46278-2711 | 2016-05-26 |
| 1689021909 | Mansi Parikh | Physical Therapist | 5980 W 71st St, 102, Indianapolis, IN 46278-2711 | 2016-05-17 |
| 1497100648 | Mona Forcier | Registered Nurse | 5980 W 71st St, Indianapolis, IN 46278-2711 | 2016-04-25 |
| 1992165070 | Luzviminda Simpson | Physical Therapist | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2016-03-02 |
| 1093180705 | Navarat Nettagul | Registered Nurse | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1649890849 | Defy Therapeutics LLC | Durable Medical Equipment & Medical Supplies | 6330 East 75th Street, Suite 218, Indianapolis, IN 46250-2700 | 2020-04-17 |
| 1558997049 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 7930 S Emerson Ave Ste 3, Indianapolis, IN 46237-8626 | 2020-03-17 |
| 1528693611 | Ally Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 9247 N Meridian St Ste 106, Indianapolis, IN 46260-1879 | 2020-03-09 |
| 1831720788 | Good for You Enterprises LLC | Durable Medical Equipment & Medical Supplies | 451 Wellington Road, Indianapolis, IN 46260-4619 | 2020-01-30 |
| 1144865338 | Medco Respiratory Instruments, Inc | Durable Medical Equipment & Medical Supplies | 3125 Dandy Trl Ste 216, Indianapolis, IN 46214-1460 | 2019-11-12 |
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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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.