HEART-ACTIVE LLC
NPI 1801547146
Clinic/Center - Mental Health (Including Community Mental Health Center) in Little Rock, AR

Active since January 18, 2022
1323 BROADWAY ST, LITTLE ROCK, AR 72202(501) 580-3335 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heart-active Llc NPPES

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

HEART-ACTIVE LLC (NPI 1801547146) is a healthcare organization registered as a mental health (including community mental health center) in Little Rock, Arkansas and active in the NPI registry since January 2022. The organization lists Ruth L Eudy, Incorporator/organizer, as its authorized official.

NPPES Registry Identity

NPI1801547146
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHEART-ACTIVE LLC
Location Address1323 BROADWAY STLittle Rock, AR 72202-4843
Mailing Address1323 Broadway StLittle Rock, AR 72202-4843
Organization SubpartNo
Authorized OfficialRuth L EudyIncorporator/organizer · (501) 580-3335
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1801547146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1323 BROADWAY ST, Little Rock, AR 72202

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heart-active Llc 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 Heart-Active LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1174284624
1323 BROADWAY ST
Little Rock, AR 72202
(501) 580-3335
✔ PECOS✔ Accepts MedicareSame address

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 Heart-Active LLC's NPI number?

The NPI number for Heart-Active LLC is 1801547146. It was assigned to this organization in the NPPES registry on January 18, 2022.

Where is Heart-Active LLC located?

Heart-Active LLC is located at 1323 Broadway St, Little Rock, AR 72202. The listed phone number is (501) 580-3335.

What is Heart-Active LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Heart-Active LLC enrolled in Medicare?

Yes. Heart-Active LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart-Active LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Heart-Active LLC. 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 Heart-Active LLC was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.