OrganizationActiveAccepts Medicare
Ativa LLC
NPI 1124413620 · Home Health Agency · Irvine, CA
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124413620
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Marvin Pan, Vp Operations(949) 225-2188
- License
- IN PROCESS (CA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18022 Cowan Ste 215
Irvine, CA 92614-6849
Phone: (949) 225-2188
Fax: (949) 225-2187
Street-level locationGet directions
Mailing address
18022 Cowan Ste 215
Irvine, CA 92614-6849
Other names (DBA / former)
- Doing business as
- Ativa Home Health
- Doing business as
- Ativa Home Health
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2018-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.