# ACTIVE HOME CARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACTIVE HOME CARE SERVICES INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235778762
- **Authorized official:** SHADRACK JORAM BAMPEBUYE (CEO)
- **Authorized official phone:** (202) 763-2290

## Contact information

- **Practice address:** 1700 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1631
- **Practice address phone:** (240) 542-4240
- **Mailing address:** 1700 ROCKVILLE PIKE STE 270A, ROCKVILLE, MD 20852-1677
- **Mailing address phone:** (240) 542-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/01/2020
- **Last updated:** 06/27/2023