Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Active Life LLC

General Practice Physician in Columbia, MO · enumerated 2018 · authorized official Samuel Henley, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922577659

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Registry record

Entity type Organization (Type 2)

Legal business name Active Life LLC

Other name <Unavail>

Practice address 2804 Forum Blvd Ste 1a, Columbia, MO, 65203

Phone (573) 999-7805

Fax (573) 446-4949

Enumeration date Nov 26, 2018

Last updated in NPPES Jun 19, 2025

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Samuel Henley

Title Doctor

Phone (573) 356-1876

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-19. Verify at npiregistry.cms.hhs.gov.

Where is Active Life LLC located?

The practice location on file with NPPES is in Columbia, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-19.