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ACTIVE LIFE LLC
NPI 1922577659
General Practice in Columbia, MO

Active since November 26, 2018
2804 FORUM BLVD STE 1A, COLUMBIA, MO 65203(573) 999-7805(573) 446-4949 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Nov 26, 2018 (2 updates tracked since 2018).

About Active Life Llc NPPES

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

ACTIVE LIFE LLC (NPI 1922577659), doing business as Active Life Chiropractic, is a healthcare organization registered as a general practice in Columbia, Missouri and active in the NPI registry since November 2018. The organization lists Samuel Henley, Doctor, as its authorized official.

NPPES Registry Identity

NPI1922577659
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameACTIVE LIFE LLC
Location Address2804 FORUM BLVD STE 1AColumbia, MO 65203-6322
Mailing Address2804 Forum Blvd Ste 1aColumbia, MO 65203-6322 · (573) 999-7805 · Fax (573) 446-4949
Phone(573) 999-7805
Fax(573) 446-4949
Organization SubpartNo
Authorized OfficialSamuel HenleyDoctor · (573) 356-1876
Enumeration DateNovember 26, 2018
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1922577659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2804 FORUM BLVD STE 1A, Columbia, MO 65203
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Other Names 1

Doing Business AsActive Life Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. CHRISTY M HENLEY D.C.
Chiropractor (Nutrition)
2804 FORUM BLVD STE 1A
COLUMBIA, MO 65203
Boone County (573) 446-4949
SAMUEL THOMAS HENLEY D.C.
Chiropractor
2804 FORUM BLVD STE 1A
COLUMBIA, MO 65203
Boone County (573) 446-4949

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 1922577659. It was assigned to this organization in the NPPES registry on November 26, 2018. The provider is doing business as Active Life Chiropractic.

Where is Active Life LLC located?

Active Life LLC is located at 2804 Forum Blvd Ste 1A, Columbia, MO 65203. The listed phone number is (573) 999-7805.

What is Active Life LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Active Life LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.