Organization
ACTIVE HOME CARE SERVICES INC
Active
Other names
ACTIVE HOME CARE SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHADRACK JORAM BAMPEBUYE (CEO)
(202) 763-2290
Entity
Organization
Contact information
Practice address
1700 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1631
(240) 542-4240
Mailing address
1700 ROCKVILLE PIKE STE 270A, ROCKVILLE, MD 20852-1677
(240) 542-4240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/01/2020
Last updated
06/27/2023
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