Organization
ACTIVE PROVIDER SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN GOMEZ (CEO)
(210) 993-4000
Entity
Organization
Contact information
Practice address
29906 PREMIERE, BULVERDE, TX 78163-2525
(210) 993-0000
Mailing address
29906 PREMIERE, BULVERDE, TX 78163-2525
(210) 993-4000
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
07/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up