Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Active Residential LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1447164371

Active Residential LLC is an Assisted Living Facility (Mental Illness) in Madison, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Ray O Vac Dr Ste 2
Madison, WI 53711-2469
Phone: (608) 282-5061
Show map & directions

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

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1447164371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdisalan Muhumed — Owner · (608) 282-5061
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address700 Ray O Vac Dr Ste 2, 002, Madison, WI 53711-2469

Other providers in Madison