Provider Demographics
NPI:1740653948
Name:ACTIVE CASE MANAGEMENT INC
Entity type:Organization
Organization Name:ACTIVE CASE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-227-4500
Mailing Address - Street 1:5523 HARBISON AVE
Mailing Address - Street 2:STE A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1552
Mailing Address - Country:US
Mailing Address - Phone:267-227-4500
Mailing Address - Fax:267-227-4500
Practice Address - Street 1:5523 HARBISON AVE
Practice Address - Street 2:STE A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1552
Practice Address - Country:US
Practice Address - Phone:267-227-4500
Practice Address - Fax:267-227-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X, 251X00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care