ACTIVE HOME CARE SERVICES INC NPI 1659882066

NPI Information

  • NPI: 1659882066
  • Provider Name: ACTIVE HOME CARE SERVICES INC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 9211 CORPORATE BLVD STE 255
    ROCKVILLE, MD
    ZIP 20850
  • Phone: (240) 238-1110

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NPI Details

ACTIVE HOME CARE SERVICES INC is a nursing care and pediatric skilled nursing facility in Rockville, MD. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ACTIVE HOME CARE SERVICES INC NPI is 1659882066. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9211 CORPORATE BLVD STE 255
ROCKVILLE, MD
ZIP 20850-856
Phone: (240) 238-1110
Fax: (240) 238-1112

The provider's authorized official is Shadrack Joram Bampebuye .
The authorized official title is Administrator / Owner and has the following contact phone number (301) 683-4270.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 7/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC1500XRegistered NurseCommunity HealthNo
2163WW0000XRegistered NurseWound CareNo
3224Z00000XOccupational Therapy AssistantNo
4364SA2200XClinical Nurse SpecialistAdult HealthNo
53140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

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: 11/21/2025

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