# A1 ACTIVE CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336695634
- **Authorized official:** MR. ANDREW M LACY SR. (MEMBER)
- **Authorized official phone:** (678) 230-7095

## Contact information

- **Practice address:** 300 COLONIAL CENTER PARKWAY, SUITE 100, ROSWELL, GA 30076-4892
- **Practice address phone:** (678) 230-7095
- **Practice address fax:** (678) 601-1365
- **Mailing address:** 300 COLONIAL CENTER PARKWAY, SUITE 100, ROSWELL, GA 30076-4892
- **Mailing address phone:** (678) 230-7095
- **Mailing address fax:** (678) 601-1365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060-R--1609 | GA | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 05/03/2017