# ACTIVE HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1376708123
- **Authorized official:** MRS. ROSITA CANONO BSN, RN (ADMINISTRATOR, DIRECTOR OF NURSING)
- **Authorized official phone:** (219) 922-0814

## Contact information

- **Practice address:** 2116 45TH ST, HIGHLAND, IN 46322-3742
- **Practice address phone:** (219) 922-0814
- **Practice address fax:** (219) 922-0652
- **Mailing address:** 2116 45TH ST, HIGHLAND, IN 46322-3742
- **Mailing address phone:** (219) 922-0814
- **Mailing address fax:** (219) 922-0652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 08-006656-1 | IN | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008