Active Living Store Inc.
NPI 1871633073 · Durable Medical Equipment & Medical Supplies · Summerfield, FL
Active Living Store Inc. is a Durable Medical Equipment & Medical Supplies organization in Summerfield, FL (NPI 1871633073).
Provider details
- NPI number
- 1871633073
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Page Whittle, Vice President(352) 307-3511
- License
- 1626 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Active Living Store Inc.'s NPI number?
- Active Living Store Inc.'s National Provider Identifier (NPI) is 1871633073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Living Store Inc.?
- Active Living Store Inc. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Active Living Store Inc. located?
- Active Living Store Inc.'s practice location on file with NPPES is 17860 Se 109th Ave, Summerfield, FL 34491-8911.
- What is Active Living Store Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Active Living Store Inc. is (352) 307-3511.
- Who is the authorized official for Active Living Store Inc.?
- The authorized official listed on Active Living Store Inc.'s NPPES record is Page Whittle, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Living Store Inc.'s NPI active?
- Yes — Active Living Store Inc.'s NPI (1871633073) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.