ACTIVE LIVING LLC (NPI# 1902165905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902165905 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIVING LLC |
| Other Organization Name | BEHAVIORAL CONSULTING |
| Practice Address |
424 Kirby Ave Waynesboro VA 22980-3189 |
| Mailing Address |
Po Box 492 Waynesboro VA 22980-0364 |
| Practice Telephone | 4348823258 |
| Practice Fax Number | 8884976161 |
| Mailing Telephone | 4348823258 |
| Mailing Fax Number | 8884976161 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | MR. PAUL E JONES JR. (PBS FACILITATOR) |
| Authorized Official Telephone | 4348823258 |
| Authorized Official Credential | NCC, QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 174 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PARTNERSHIP FOR PEOPLE WITH DISABILITIES VIRGINIA COMMONWEALTH U | 174 | 01 |
| Other Name | Type Code |
|---|---|
| Behavioral Consulting | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487686879 | Active Living LLC | Counselor | 503 W Church Ave, Suite A, Medina, TN 38355-8769 | 2006-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE LIVING LLC | 1430 Ne Marine Dr, Portland, OR 97211 |
| Virginia Business Entities | Active Living LLC | 424 Kirby Ave, Waynesboro, Virginia 22980 |
| Colorado Business Entities | Active Living LLC | 5630 Pike St, Golden, CO 80403 |
| Street Address |
424 KIRBY AVE |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-3189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215569066 | Family Preservation Services, LLC. | Community/Behavioral Health | 840 King Ave, Waynesboro, VA 22980-2723 | 2020-02-10 |
| 1104458959 | Family Preservation Services, LLC. | Community/Behavioral Health | 548 Rosser Ave, Waynesboro, VA 22980-3561 | 2020-02-10 |
| 1295367043 | Family Preservation Services, LLC. | Community/Behavioral Health | 125 N Bayard Ave, Waynesboro, VA 22980-5156 | 2020-02-10 |
| 1427680479 | Family Preservation Services, LLC. | Community/Behavioral Health | 1301 Rockfish Rd, Waynesboro, VA 22980-6308 | 2020-02-07 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1366897472 | Family Preservation Services, Inc | Community/Behavioral Health | 937 Fir St, Waynesboro, VA 22980-3753 | 2016-04-26 |
| 1790168847 | Center New Beginnings | Community/Behavioral Health | 727 W 6th St, Waynesboro, GA 30830-4407 | 2015-07-08 |
| 1194055046 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 566 Hwy 25 S, Waynesboro, GA 30830-5545 | 2009-12-28 |
| 1538214374 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 292 W 4th St, Waynesboro, GA 30830-1559 | 2007-01-24 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
Please comment or provide details below to improve the information on ACTIVE LIVING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.