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

Eastside Active Living LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1215323118

Eastside Active Living LLC is an Assisted Living Facility (Mental Illness) in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 Taft St
Hollywood, FL 33020-3272
Phone: (954) 923-5057
Fax: (954) 927-7794
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 · Licence AL12023 (FL)

Record details

NPI number1215323118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moses Syhead — Manager · (954) 362-3487
NPI enumeratedApril 8, 2015
Last updated in NPPESMay 23, 2016
Mailing address1600 Taft St, Hollywood, FL 33020-3272

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