NPI 1467731539 · live from the CMS NPI Registry
Active Way Healthcare Services, LLC
In Home Supportive Care in Peoria, IL. National Provider Identifier 1467731539, active.
NPI record
| NPI | 1467731539 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 3521 N California Ave, Suite C, Peoria, IL 61603 |
| Practice phone | 309-693-7665 |
| Enumerated | August 8, 2011 |
| Last updated | August 8, 2011 |
| Authorized official | Sandi Lawson, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Nursing Care | 251J00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.