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

Active Senior Living Residence

Organization Assisted Living Facility · NPI 1417371857

Active Senior Living Residence is an Assisted Living Facility in Tamarac, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

9057 NW 57th St
Tamarac, FL 33351-4305
Phone: (954) 721-1115
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 9969 (FL)

Record details

NPI number1417371857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Besu — Administrator · (954) 629-4734
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014
Mailing address9057 Nw 57th St, Tamarac, FL 33351-4305

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