Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life Medical Management

Organization Durable Medical Equipment & Medical Supplies · NPI 1134507908

Active Life Medical Management is a Durable Medical Equipment & Medical Supplies in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
Specialties on file
5

Practice location Address checks out

4501 Jackson St Ste C-322
Alexandria, LA 71303-2555
Phone: (318) 442-2200
Fax: (318) 442-2208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X · Licence DME000481 (LA)
Nursing Facility Supplies (DME) Taxonomy 332BN1400X · Licence DME000481 (LA)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence DME000481 (LA)
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X · Licence DME000481 (LA)

Record details

NPI number1134507908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Souza — President · (318) 442-2200
Other names Active Life Medical
NPI enumeratedMay 13, 2015
Last updated in NPPESMay 13, 2015
Mailing addressPo Box 586, Yuba City, CA 95992-0586

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