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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ACTIVE RESIDENTIAL LLC
NPI 1447164371
Assisted Living Facility - Assisted Living, Mental Illness in Madison, WI

Active since September 29, 2026
700 RAY O VAC DR STE 2, MADISON, WI 53711(608) 282-5061 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Active Residential Llc NPPES

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

ACTIVE RESIDENTIAL LLC (NPI 1447164371) is a healthcare organization registered as an assisted living, mental illness in Madison, Wisconsin and active in the NPI registry since September 2026. The organization lists Abdisalan H Muhumed, Owner, as its authorized official.

NPPES Registry Identity

NPI1447164371
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameACTIVE RESIDENTIAL LLC
Location Address700 RAY O VAC DR STE 2Madison, WI 53711-2469
Mailing Address700 Ray O Vac Dr Ste 2, 002Madison, WI 53711-2469 · (608) 282-5061
Phone(608) 282-5061
Organization SubpartNo
Authorized OfficialAbdisalan H MuhumedOwner · (608) 282-5061
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1447164371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
700 RAY O VAC DR STE 2, Madison, WI 53711
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPOSE CARE LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
700 RAY O VAC DR STE 2
MADISON, WI 53711
Dane County (608) 481-3612
THOMPSON DR LLC
Assisted Living Facility
700 RAY O VAC DR STE 2
MADISON, WI 53711
Dane County (608) 608-1640
MRS. FARDOWSA A IBRAHIM
Non-emergency Medical Transport (VAN)
700 RAY O VAC DR STE 2
MADISON, WI 53711
Dane County (608) 512-5569
CARENEST LLC
Assisted Living Facility
700 RAY O VAC DR STE 2
MADISON, WI 53711
Dane County (608) 556-5761

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 Residential LLC's NPI number?

The NPI number for Active Residential LLC is 1447164371. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Active Residential LLC located?

Active Residential LLC is located at 700 Ray O Vac Dr Ste 2, Madison, WI 53711. The listed phone number is (608) 282-5061.

What is Active Residential LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Active Residential LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.