ACTIVE LIFE HOME CARE INC NPI 1104398643

NPI Details

ACTIVE LIFE HOME CARE INC is an in home supportive care in Harbor City, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. ACTIVE LIFE HOME CARE INC NPI is 1104398643. The provider is registered as an organization entity type.

The provider's business location address is:

760 W. LOMITA BLVD.
SUITE 79
HARBOR CITY, CA
ZIP 90710
Phone: (310) 748-9390
Fax: (310) 847-6141

The provider's authorized official is Ariel Valladolid Cabral .
The authorized official title is Administrator and has the following contact phone number (310) 748-9390.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 12/21/2018.

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: