MEDICARE: ACTIMIZE HEALTH 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1962372177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTIMIZE HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	83 GEORGE ST
Second Line	:
City	:	MILLTOWN
State	:	NJ
Zip	:	08850-1845
Country	:	US
Telephone Number	:	347-309-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	5102 BLESSING DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5574
Country	:	US
Telephone Number	:	347-309-9701
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MUHAMMAD SUBHAN
Credential	:
Telephone Number	:	347-309-9701

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	01/13/2026

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