# ACTIVE CARE SERVICES

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

## Provider details

- **NPI number:** 1376794032
- **Authorized official:** MR. CECILIO CHIO BANA JR. (OWNER)
- **Authorized official phone:** (818) 920-7147

## Contact information

- **Practice address:** 14747 ROSCOE BLVD, \#19, PANORAMA CITY, CA 91402-4145
- **Practice address phone:** (818) 920-7147
- **Mailing address:** 14747 ROSCOE BLVD, \#19, PANORAMA CITY, CA 91402-4145
- **Mailing address phone:** (818) 920-7147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0002167408-0001-1 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | 0002167408-0001-1 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/30/2008