OrganizationActive
A1 Active Care
NPI 1336695634 · In Home Supportive Care Agency · Roswell, GA
Provider details
- NPI number
- 1336695634
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrew Lacy, Member(678) 230-7095
- License
- 060-R--1609 (GA)
Specialties & taxonomies
Agencies
Practice location
300 Colonial Center Parkway
Suite 100
Roswell, GA 30076-4892
Phone: (678) 230-7095
Fax: (678) 601-1365
Approximate (ZIP-level) locationGet directions
Mailing address
300 Colonial Center Parkway
Roswell, GA 30076-4892
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.