# ACTIVE CARE HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1902315757
- **Authorized official:** SHANAE JACKSON (DIRECTOR)
- **Authorized official phone:** (314) 494-3892

## Contact information

- **Practice address:** 14115 CANDLEWYCK, FLORISSANT, MO 63034
- **Practice address phone:** (314) 494-3892
- **Mailing address:** 14115 CANDLEWYCK PLACE CT, FLORISSANT, MO 63034-2563

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 09/25/2017