Healthcare Provider Details

I. General information

NPI: 1932835840
Provider Name (Legal Business Name): ACTIVE CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17714 WEXFORD TER
JAMAICA NY
11432-2970
US

IV. Provider business mailing address

8343 258TH ST
FLORAL PARK NY
11004-1640
US

V. Phone/Fax

Practice location:
  • Phone: 516-776-2942
  • Fax: 516-706-6000
Mailing address:
  • Phone: 516-776-2942
  • Fax: 516-706-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAMANDEEP SINGH
Title or Position: PRESIDENT
Credential:
Phone: 516-776-2942