Organization Active NPI

Mumtaz Active Center, LLC

  • Adult Day Care Clinic/Center
  • Columbus, OH
National Provider Identifier
1124846894
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MUMTAZ ACTIVE CENTER, LLC
Practice address
653 Harrisburg Pike
Columbus, OH 43223-2103
Phone
(380) 239-6083
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amino Mohamed
Title
Owner
Phone
(380) 239-6083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

653 Harrisburg Pike
Columbus, OH 43223-2103

Mailing address

653 Harrisburg Pike
Columbus, OH 43223-2103

Other names 1

  • Active Center Doing business as

National Provider Directory

National Provider Directory

Locations

653 Harrisburg Pike
Columbus, OH 43223
Phone (380) 239-6083

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1124846894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 HARRISBURG PIKE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 HARRISBURG PIKE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232103",
            "telephone_number": "380-239-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUMTAZ ACTIVE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AMINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "380-239-6083"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.