OrganizationActive
Advanced Living LLC
NPI 1235012683 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tampa, FL
Provider details
- NPI number
- 1235012683
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Vivanshay Harris, Owner(813) 846-5750
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
10009 N 27th St
Tampa, FL 33612-7101
Phone: (813) 846-5750
Approximate (ZIP-level) locationGet directions
Mailing address
10009 N 27th St
Tampa, FL 33612-7101
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.