ACTIVE LIFE HEALTH OF CHARLOTTE PLLC
NPI 1770158909
Durable Medical Equipment & Medical Supplies in Charlotte, NC

Active since May 20, 2021
8401 MEDICAL PLAZA DR STE 355, CHARLOTTE, NC 28262(704) 272-3884(704) 235-1629 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About ACTIVE LIFE HEALTH OF CHARLOTTE PLLC

This page provides the complete NPI Profile along with additional information for Active Life Health Of Charlotte Pllc, a provider established in Charlotte, North Carolina operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1770158909 assigned on May 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is John J Rush Md (Chairman & Chief Executive Officer)

NPI
1770158909 Verify this NPI
Provider Name
ACTIVE LIFE HEALTH OF CHARLOTTE PLLC
Entity Type
Organization
Location Address
8401 MEDICAL PLAZA DR STE 355 CHARLOTTE, NC 28262
Location Phone
(704) 272-3884
Location Fax
(704) 235-1629
Mailing Address
8401 MEDICAL PLAZA DR STE 355 CHARLOTTE, NC 28262
Mailing Phone
(704) 272-3884
Mailing Fax
(704) 235-1629
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2021
Last Update Date
05-20-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN J RUSH MD

Authorized Official Title
CHAIRMAN & CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(614) 504-0741

Reviews for ACTIVE LIFE HEALTH OF CHARLOTTE PLLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
8401 MEDICAL PLAZA DR STE 355
CHARLOTTE, NC 28262
Physical Medicine & Rehabilitation
8401 MEDICAL PLAZA DR STE 355
CHARLOTTE, NC 28262
Physician Assistant
8401 MEDICAL PLAZA DR STE 355
CHARLOTTE, NC 28262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770158909, enumerated as an "organization" on May 20, 2021.

The provider is located at 8401 MEDICAL PLAZA DR STE 355 CHARLOTTE, NC 28262 and the phone number is (704) 272-3884.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.