Healthcare Provider Details

I. General information

NPI: 1881536795
Provider Name (Legal Business Name): ACTIVE ANGEL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5195 CLEVES WARSAW PIKE
CINCINNATI OH
45238-3864
US

IV. Provider business mailing address

5195 CLEVES WARSAW PIKE
CINCINNATI OH
45238-3864
US

V. Phone/Fax

Practice location:
  • Phone: 513-620-5911
  • Fax: 513-456-4975
Mailing address:
  • Phone: 513-620-5911
  • Fax: 513-456-4975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FARIDA ULANDER
Title or Position: CEO
Credential:
Phone: 513-620-5911