=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477006211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACTIVE HEALTH SOLUTIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2016
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19790 W DIXIE HWY STE 407
-----------------------------------------------------
City | AVENTURA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33180-2294
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-360-3449
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 NW 9TH CT STE 203
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33486-2268
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-360-3449
-----------------------------------------------------
Fax | 786-536-4411
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HR MANAGER
-----------------------------------------------------
Name | JESSICA LAMPING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-328-0607
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 30211856
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------