Active Assisted Living, LLC
Active Assisted Living, LLC is a healthcare organization registered as Physical Disabilities Residential Treatment Facility in Mesa, AZ, holding Type 2 (organization) NPI 1629198858 since 2007. The authorized official on file is Steven Tharalson, Director.
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| NPI | 1629198858 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Assisted Living, LLC |
| Other name | <Unavail> |
| Practice address | 758 S TOLTEC, Mesa, AZ, 85204 |
| Phone | 4804618272 |
| Fax | 4804614682 |
| Enumeration date | 2007-03-30 |
| Last updated in NPPES | 2007-08-01 |
Authorized official
| Name | Steven Tharalson |
|---|---|
| Title | Director |
| Phone | 4804618272 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320700000X | Physical Disabilities Residential Treatment Facility | Primary | ALH-4567 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ALH-4567 | Other | AZ | ASSISTED LIVING LICENSE |
Copy-ready billing details
Provider: Active Assisted Living, LLC NPI: 1629198858 Taxonomy: 320700000X (Physical Disabilities Residential Treatment Facility) Address: 758 S TOLTEC, Mesa, AZ, 85204
Verify this record
Cross-check NPI 1629198858 against the authoritative CMS record: view Active Assisted Living, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-01.