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ACTIVE HEALTHCARE INC. NPI 1356851299


NPI Information

NPI: 1356851299
Provider Name: ACTIVE HEALTHCARE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11709 FRUEHAUF DR
CHARLOTTE, NC
ZIP 28273
Phone: (919) 870-8600
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ACTIVE HEALTHCARE, INC. is a durable medical equipment medical supplies in Charlotte, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE HEALTHCARE, INC. NPI is 1356851299. The provider is registered as an organization entity type.

The provider's business location address is:

11709 FRUEHAUF DR
CHARLOTTE, NC
ZIP 28273-284
Phone: (919) 870-8600

The provider's authorized official is Lisa Elaine Ellison .
The authorized official title is Controller and has the following contact phone number (919) 870-8600.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17700598MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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