Active Life, Llc in Glendale - Prosthetic/orthotic Supplier
Active Life, Llc - NPI 1215983366
Active Life, Llc is a Prosthetic/orthotic Supplier in Glendale, California. Active Life, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Active Life, Llc is 1215983366. The last update date is 2023-01-24.
Active Life, Llc's current location address is 1577 E Chevy Chase Dr, Glendale, California. You can contact this provider via phone number 8184954610 and fax number 8184842812. The mailing address for Active Life, Llc is 1577 E Chevy Chase Dr, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Life, Llc |
|---|---|
| Address | 1577 E Chevy Chase Dr, Glendale, California |
| Phone Number | 8184954610 |
| Fax Number | 8184842812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COMPLIANCE |
|---|---|
| Authorized Official Name | Nemani Chintapall Pallavi |
| Telephone Number | 5125526311 |
NPI Number Detail
| NPI Number | 1215983366 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
| Address | 1577 E Chevy Chase Dr |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912064107 |
| Phone Number | 8184954610 |
| Fax Number | 8184842812 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XC0009601 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Active Life, Llc by the Centers for Medicare & Medicaid Services?
The Active Life, Llc has been assigned the NPI (National Provider Identifier) 1215983366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Active Life, Llc's physical address?
The Active Life, Llc is physically located at 1577 E Chevy Chase Dr, in the city of Glendale, CA, with the postal code 912064107.
What is Active Life, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Active Life, Llc is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215983366 to Active Life, Llc?
The Active Life, Llc received its 1215983366 assignment from the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information regarding Active Life, Llc most recently updated?
The details pertaining to the Active Life, Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-01-24.