Active Life LLC
NPI 1922577659ActiveOrganization· General Practice· Columbia, MO
General Practice in Columbia, Missouri, registered in NPPES in November 2018. The authorized official on file is Samuel Henley, DC, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922577659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2018 |
| Last updated in NPPES | Jun 19, 2025 |
| Certified by provider | Jun 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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