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NPI Code Detail

MEDICARE: ACTIVE CARE LLC

MEDICARE: ACTIVE CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1982532206
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTIVE CARE LLC
Provider Business Mailing Address
First Line : 2775 ORCHARD RUN RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2831
Country : US
Telephone Number : 929-919-1244
Fax Number :
Provider Business Practice Location Address
First Line : 2775 ORCHARD RUN RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2831
Country : US
Telephone Number : 929-919-1244
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AHSAN ABDULLAH
Credential :
Telephone Number : 929-919-1244
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ACTIVE CARE LLC ” Practice Location

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