Organization Name: | ACTIVA HOMECARE LLC |
NPI Number: | 1801160908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN FEDELE (CEO) |
Mailing Address: | 1800 W Woolbright Rd Ste 200 Boynton Beach |
State: | FL US |
Postal Code: | 334266398 |
Phone Number: | 5618190460 |
Fax Number: | 5612077843 |
NPI Enumeration Date: | 03/07/2012 |
NPI Last Update Date: | 03/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251J00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Nursing Care |
Taxonomy Specialization: | |
Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |