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ACTIVE LIFE, LLC
NPI 1245549096
Clinic/Center - Primary Care in Charleston, SC

Active since September 28, 2010
125 WAPPOO CREEK DR, SUITE 202, CHARLESTON, SC 29412(843) 588-5133 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Life, Llc NPPES

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

ACTIVE LIFE, LLC (NPI 1245549096) is a healthcare organization registered as a primary care in Charleston, South Carolina and active in the NPI registry since September 2010. The organization lists Kelly Erin O'neill, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1245549096
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameACTIVE LIFE, LLC
Location Address125 WAPPOO CREEK DR, SUITE 202Charleston, SC 29412-2163
Mailing Address125 Wappoo Creek Dr, Suite 202Charleston, SC 29412-2163 · (843) 588-5133
Phone(843) 588-5133
Organization SubpartNo
Authorized OfficialKelly Erin O'neillDoctor/owner · (843) 588-5133
Enumeration DateSeptember 28, 2010
✔ NPI 1245549096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in SC · 3574
125 WAPPOO CREEK DR, Charleston, SC 29412
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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, LLC's NPI number?

The NPI number for Active Life, LLC is 1245549096. It was assigned to this organization in the NPPES registry on September 28, 2010.

Where is Active Life, LLC located?

Active Life, LLC is located at 125 Wappoo Creek Dr Suite 202, Charleston, SC 29412. The listed phone number is (843) 588-5133.

What is Active Life, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Active Life, LLC was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.