ACTIVE SENIOR LIVING RESIDENCE, INC.
NPI 1861557464
Assisted Living Facility in Tamarac, FL

Active since December 26, 2006
9057 NW 57TH ST, TAMARAC, FL 33351(954) 721-1115(954) 721-4397 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Senior Living Residence, Inc. NPPES

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

ACTIVE SENIOR LIVING RESIDENCE, INC. (NPI 1861557464) is a healthcare organization registered as an assisted living facility in Tamarac, Florida and active in the NPI registry since December 2006. The organization lists Beth Ilona Tokarz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861557464
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameACTIVE SENIOR LIVING RESIDENCE, INC.
Location Address9057 NW 57TH STTamarac, FL 33351-4305
Mailing Address9057 Nw 57th StTamarac, FL 33351-4305 · (954) 721-1115 · Fax (954) 721-4397
Fax(954) 721-4397
Organization SubpartNo
Authorized OfficialBeth Ilona TokarzAdministrator · (954) 721-1115
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1861557464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · 9969
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
9057 NW 57TH ST, Tamarac, FL 33351

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
9057 NW 57TH ST
TAMARAC, FL 33351
Assisted Living Facility
9057 NW 57TH ST
TAMARAC, FL 33351

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 Senior Living Residence, Inc.'s NPI number?

The NPI number for Active Senior Living Residence, Inc. is 1861557464. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Active Senior Living Residence, Inc. located?

Active Senior Living Residence, Inc. is located at 9057 NW 57th St, Tamarac, FL 33351. The listed phone number is (954) 721-1115.

What is Active Senior Living Residence, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Active Senior Living Residence, Inc. was last updated on August 22, 2020. 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.