Provider Demographics
NPI:1184668337
Name:ACT HOME HEALTH, INC
Entity type:Organization
Organization Name:ACT HOME HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-484-2900
Mailing Address - Street 1:16270 FOREST LIGHT DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-2074
Mailing Address - Country:US
Mailing Address - Phone:719-644-1119
Mailing Address - Fax:303-223-0084
Practice Address - Street 1:4401 N I-35
Practice Address - Street 2:SUITE 208
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3443
Practice Address - Country:US
Practice Address - Phone:940-484-2900
Practice Address - Fax:940-484-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009716251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45-7965Medicare ID - Type UnspecifiedHOME HEALTH