Provider Demographics
NPI:1275427767
Name:ACTIVE DAILY LIVING HOME CARE LLC
Entity type:Organization
Organization Name:ACTIVE DAILY LIVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-232-4824
Mailing Address - Street 1:101 MILLERS COVE RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6259
Mailing Address - Country:US
Mailing Address - Phone:757-232-4824
Mailing Address - Fax:757-867-8601
Practice Address - Street 1:101 MILLERS COVE RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6259
Practice Address - Country:US
Practice Address - Phone:757-232-4824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care