Organization
ACTIVE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADRACK JORAM BAMPEBUYE (OPERATIONS MANAGER)
(202) 763-2290
Entity
Organization
Contact information
Practice address
5006 LENKER ST STE 108, MECHANICSBURG, PA 17050-3203
(717) 963-7956
(717) 963-7832
Mailing address
5006 LENKER ST STE 108, MECHANICSBURG, PA 17050-3203
(717) 963-7956
(717) 963-7832
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/05/2018
Last updated
09/13/2019
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