OrganizationActive
Active Therapy Management LLC
NPI 1376416875 · Assisted Living Facility · Henderson, TX
Provider details
- NPI number
- 1376416875
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ashok Gupta, Ceo(954) 702-3000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1905 Old Nacogdoches Rd
Henderson, TX 75654-4630
Phone: (903) 657-1563
Street-level locationGet directions
Mailing address
1918 E Front St
Tyler, TX 75702-8511
Other names (DBA / former)
- Doing business as
- Pine Lodge Assisted Living
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.