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Organization
ACTIVE HOME CARE REHABILITATION SERVICES INC
Active
Organization
ACTIVE HOME CARE REHABILITATION SERVICES INC
Active
Other names
Active Home Care Rehabilitation Services INC, n/a
Organization subpart
No
Provider details
NPI number
Authorized official
SHADRACK JORAM BAMPEBUYE (CEO)
(202) 763-2290
Entity
Organization
Contact information
Practice address
9211 CORPORATE BLVD STE 255, ROCKVILLE, MD 20850-3856
(240) 238-1110
(240) 238-1112
Mailing address
9211 CORPORATE BLVD STE 255, ROCKVILLE, MD 20850-3856
(240) 238-1110
(240) 238-1112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/23/2025
Last updated
10/13/2026
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