Organization
ACTIVE HEALTHCARE, INC.
Active
Parent organization
ACTIVE HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE HEALTHCARE, INC.
Authorized official
STEVEN FEIERSTEIN (CFO)
(919) 870-8600
Entity
Organization
Contact information
Practice address
9104 FALLS OF NEUSE RD STE 100, RALEIGH, NC 27615-2494
(919) 870-1551
(919) 645-0020
Mailing address
9104 FALLS OF NEUSE RD STE 100, RALEIGH, NC 27615-2494
(919) 870-8600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700598
—
NC
Enumeration date
03/13/2019
Last updated
01/06/2020
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