OrganizationActive
Active Life Health Care LLC
NPI 1568301380 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bowie, MD
Provider details
- NPI number
- 1568301380
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ukachi Esen, Owner(240) 505-9350
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 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
2102 Saint Georges Way
Bowie, MD 20721-2296
Phone: (240) 505-9350
Street-level locationGet directions
Mailing address
2102 Saint Georges Way
Bowie, MD 20721-2296
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.