MANAGED HEALTHY LIVING INC
NPI 1104595735
Clinic/Center in Orlando, FL
About Managed Healthy Living Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANAGED HEALTHY LIVING INC (NPI 1104595735) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since September 2021. The organization lists Marlene Vernonia Lindsay, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Managed Healthy Living Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Managed Healthy Living Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Managed Healthy Living Inc's NPI number?
The NPI number for Managed Healthy Living Inc is 1104595735. It was assigned to this organization in the NPPES registry on September 8, 2021.
Where is Managed Healthy Living Inc located?
Managed Healthy Living Inc is located at 4804 Edgewater Dr Ste A, Orlando, FL 32804. The listed phone number is (407) 574-3030.
What is Managed Healthy Living Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Managed Healthy Living Inc enrolled in Medicare?
Yes. Managed Healthy Living Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Managed Healthy Living Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Managed Healthy Living Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Managed Healthy Living Inc was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Managed Healthy Living Inc · NPI 1104595735
Clinic/Center organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since September 8, 2021.
## Identity
- **NPI:** 1104595735 (Entity type: Organization)
- **Enumerated:** September 8, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Marlene Lindsay, ADMINISTRATOR
## Practice location
- **Address:** 4804 EDGEWATER DR STE A, Orlando, FL 32804-1126
- **Phone:** (407) 574-3030 · **Fax:** (321) 697-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104595735) · Data from the CMS NPPES public registry.