1. Home
  2. Directory
  3. Massachusetts
  4. Fitchburg
  5. Clinic Center
  6. NPI Profile

ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC
NPI 1104333087
Clinic/Center - Adult Day Care in Fitchburg, MA

Active since January 02, 2018CLIA 22D2140725 · Waiver
783 WATER ST, FITCHBURG, MA 01420(978) 400-7604(978) 268-5242 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Life Health Care Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC (NPI 1104333087) is a healthcare organization registered as an adult day care in Fitchburg, Massachusetts and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Vladimir Giterman, Owner, as its authorized official.

NPPES Registry Identity

NPI1104333087
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameACTIVE LIFE HEALTH CARE MANAGEMENT, LLC
Location Address783 WATER STFitchburg, MA 01420-6479
Mailing Address783 Water StFitchburg, MA 01420-6479 · (978) 400-7604 · Fax (978) 268-5242
Phone(978) 400-7604
Fax(978) 268-5242
Organization SubpartNo
Authorized OfficialVladimir GitermanOwner · (978) 400-7604
Enumeration DateJanuary 2, 2018
✔ NPI 1104333087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
783 WATER ST, Fitchburg, MA 01420
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2140725

Active Life Healthcare Management, LLC · Fitchburg, MA
Active · expires Nov 28, 2027
CLIA Number22D2140725
Laboratory TypeAdult Day Health
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorVladimir Giterman
Laboratory Phone(617) 686-6092
Laboratory LocationActive Life Healthcare Management, LLC783 Water St, Fitchburg, MA 01420
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Life Health Care Management, LLC's NPI number?

The NPI number for Active Life Health Care Management, LLC is 1104333087. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is Active Life Health Care Management, LLC located?

Active Life Health Care Management, LLC is located at 783 Water St, Fitchburg, MA 01420. The listed phone number is (978) 400-7604.

What is Active Life Health Care Management, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Active Life Health Care Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2140725) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Life Health Care Management, LLC was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.