National Provider Identifier Database

ACTIVA HOME HEALTHCARE LLC
In Home Supportive Care

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.


Contact Information

ACTIVA HOME HEALTHCARE LLC
2900 LOUISIANA BLVD NE STE B1
ALBUQUERQUE, NM87110-3564
Phone: 505-362-7977
Fax:
Website:
Specialty Taxonomy Code
* In Home Supportive Care 253Z00000X
Personal Care Attendant 3747P1801X

* Indicates primary specialty

NPI Profile & details for ACTIVA HOME HEALTHCARE LLC

NPI Number 1821799883
Legal business name
LBN
ACTIVA HOME HEALTHCARE LLC
Authorized official ROSELLE OSTENDORF - (PRESIDENT/ADMIN)
Entity Organization
Organization subpart No
Enumeration date 03/15/2023
Last updated 08/02/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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