NPI 1144777079 · live from the CMS NPI Registry
Active Ma, INC.
Home Health in East Longmeadow, MA. National Provider Identifier 1144777079, active.
NPI record
| NPI | 1144777079 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 265 Benton Dr, Suite 201, East Longmeadow, MA 01028 |
| Practice phone | 413-525-2124 |
| Mailing address | 6 Neshaminy Interplex, Suite 401, Trevose, PA 19053 |
| Enumerated | September 8, 2016 |
| Last updated | September 8, 2016 |
| Authorized official | Craig Mehnert, Coo |
| Other names | Active Home Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.