Provider Demographics
NPI:1861254989
Name:ACTIVE SENIOR HOME CARE INC.
Entity type:Organization
Organization Name:ACTIVE SENIOR HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AURICA
Authorized Official - Middle Name:OROS
Authorized Official - Last Name:BINTINTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-380-1143
Mailing Address - Street 1:26771 VIA VICTORIA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3433
Mailing Address - Country:US
Mailing Address - Phone:949-380-1143
Mailing Address - Fax:949-380-1641
Practice Address - Street 1:26771 VIA VICTORIA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3433
Practice Address - Country:US
Practice Address - Phone:949-380-1143
Practice Address - Fax:949-380-1641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility