# ACTIVE HOME CARE REHABILITATION SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Home Care Rehabilitation Services INC, n/a
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356134258
- **Authorized official:** SHADRACK JORAM BAMPEBUYE (CEO)
- **Authorized official phone:** (202) 763-2290

## Contact information

- **Practice address:** 9211 CORPORATE BLVD STE 255, ROCKVILLE, MD 20850-3856
- **Practice address phone:** (240) 238-1110
- **Practice address fax:** (240) 238-1112
- **Mailing address:** 9211 CORPORATE BLVD STE 255, ROCKVILLE, MD 20850-3856
- **Mailing address phone:** (240) 238-1110
- **Mailing address fax:** (240) 238-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 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