Active Care Group Home

LBN: Active Care Group Home
Active Care Group Home is an health care organization with primary practice located at 3935 43Rd Ave N , St Petersburg FL 33714-3620. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Active Care Group Home can be contacted via phone (727) 235-8753, or through Manukonda, Esmeralda via phone (727) 452-0448.

Contact Information

Primary practice address
3935 43Rd Ave N St Petersburg FL 33714-3620
Phone: (727) 235-8753
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manukonda, Esmeralda
Phone: (727) 452-0448

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X AL11427 Florida

Profile Details

NPI number 1851626337
LBN Legal business name Active Care Group Home
DBA Doing business as
Authorized official Manukonda, Esmeralda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2009
Last updated Oct 16th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers