Active NPI
Active Residential LLC
- Assisted Living Facility (Mental Illness)
- Madison, WI
National Provider Identifier
1447164371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- ACTIVE RESIDENTIAL LLC
- Practice address
- 700 Ray O Vac Dr Ste 2
Madison, WI 53711-2469 - Phone
- (608) 282-5061
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdisalan H Muhumed
- Title
- Owner
- Phone
- (608) 282-5061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | Primary |
Addresses
Primary practice location
700 Ray O Vac Dr Ste 2
Madison, WI 53711-2469
Mailing address
700 Ray O Vac Dr Ste 2
002
Madison, WI 53711-2469
Phone (608) 282-5061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1447164371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 RAY O VAC DR STE 2",
"address_2": "002",
"city": "MADISON",
"state": "WI",
"postal_code": "537112469",
"telephone_number": "608-282-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 RAY O VAC DR STE 2",
"city": "MADISON",
"state": "WI",
"postal_code": "537112469",
"telephone_number": "608-282-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE RESIDENTIAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "MUHUMED",
"authorized_official_first_name": "ABDISALAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-282-5061"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
- Jessica Ann Acker, PHARM.D.
- Allison Jeanne Ackerman
- Jaeger Ackerman, MD
- Lynn A Acosta, PHARMD
- Active Care LLC
- Active Transit LLC
- Activeear, LLC (Madison Hearing Aid Center)
- Actra Rehabilitation Associates Inc (NovaCare Prosthetics & Orthotics)
- John Adair, M.D
- Adam Howarth Consulting LLC (Adam Howarth Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.