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

Active Senior Living Residence, Inc

Organization Assisted Living Facility · NPI 1861557464

Active Senior Living Residence, Inc is an Assisted Living Facility in Tamarac, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9057 NW 57th St
Tamarac, FL 33351-4305
Phone: (954) 721-1115
Fax: (954) 721-4397
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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 number1861557464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Tokarz — Administrator · (954) 721-1115
NPI enumeratedDecember 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9057 Nw 57th St, Tamarac, FL 33351-4305

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