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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: October 25, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Life Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Life LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Henley, D.C.
Chiropractic
NPI 1922305267
2804 FORUM BLVD STE 1A
Columbia, MO 65203
(573) 446-4949
✔ Accepts MedicareSame address
Heather Dean, ARNP-C
Nurse Practitioner
NPI 1275046781
1717 N E ST STE 331
Pensacola, FL 32501
(850) 430-7081
✔ PECOS✔ Accepts Medicare654 mi

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 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.

Is Active Life LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Active Life LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Active Life LLC, in Chiropractic and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Life LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Active Life LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 16 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.