# ACTIVA HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Activa Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891043527
- **Authorized official:** MR. JONATHAN FEDELE (CEO)
- **Authorized official phone:** (561) 819-0460

## Contact information

- **Practice address:** 5850 CORAL RIDGE DR, 105, CORAL SPRINGS, FL 33076-3378
- **Practice address phone:** (954) 344-1761
- **Practice address fax:** (954) 688-2958
- **Mailing address:** 1501 CORPORATE DR, SUITE 270, BOYNTON BEACH, FL 33426-6600
- **Mailing address phone:** (954) 907-1800
- **Mailing address fax:** (561) 207-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 01/10/2017