Organization · NPI-2
Activa Health
Preventive Medicine, Obesity Medicine · Elkhart, IN
NPI number1417800129
StatusActive
Last updated in NPPESFeb 20, 2026
Details
- NPI
- 1417800129
- Entity type
- Organization (NPI-2)
- Legal business name
- Activa Health
- Organization subpart
- No
- Enumeration date
- Feb 20, 2026
- Certification date
- Feb 20, 2026
- Last updated
- Feb 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083B0002X | Preventive Medicine, Obesity Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
234 Waterfall Dr Ste CElkhart, IN 46516-3683
Phone 574-307-5502 · Fax 866-598-4540
Mailing address
234 Waterfall Dr Ste CElkhart, IN 46516-3683
Phone 574-307-5502
Authorized official
Talhia Yajaira Juarez-Aguilar
Owner/Ceo
5743075502
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