Active NPI
Senior Care Service LLC
Doing business as ActivStyle
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
National Provider Identifier
1518951128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 02542390000
- Legal business name
- SENIOR CARE SERVICE LLC
- Doing business as
- ActivStyle
- Practice address
- 565 S Commercial Dr
Grand Junction, CO 81505-6900 - Phone
- (970) 812-0811
- Fax
- (800) 880-6549
- NPI assigned
- Sep 9, 2005
- Last updated
- Oct 31, 2025
- 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
- Darrell Douglas Rawlings
- Title
- Ceo
- Phone
- (612) 895-7815
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02542390000 | CO | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
565 S Commercial Dr
Grand Junction, CO 81505-6900
Mailing address
1055 Westgate Dr Ste 100
Saint Paul, MN 55114-1451
Phone (800) 651-6223
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3085727 | Medicaid | NH | |
| 88103811 | Medicaid | CO | |
| 4996909 | Medicaid | NJ | |
| 6797008 00 | Medicaid | MD | |
| 73489 | Medicaid | NM | |
| 805602500 | Medicaid | ID | |
| 9032087 | Medicaid | WA | |
| 0005603183 | Medicaid | MT | |
| 88103811 | Medicaid | OH | |
| 0012521830002 | Medicaid | PA |
Other names 1
- ActivStyle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003277 | CO | DME Supplier - Medical Supply Company | 3072634351 | Practice locations: Grand Junction, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Activstyle | Commodes, Urinals, Bedpans|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
565 S Commercial Dr
Grand Junction, CO 81505
Phone (800) 678-5915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1518951128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 WESTGATE DR STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141451",
"telephone_number": "800-651-6223",
"fax_number": "866-896-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 S COMMERCIAL DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815056900",
"telephone_number": "970-812-0811",
"fax_number": "800-880-6549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-09",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "RAWLINGS",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-895-7815"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "02542390000",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3085727",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88103811",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4996909",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6797008 00",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73489",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805602500",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9032087",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005603183",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88103811",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012521830002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ActivStyle",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ActivStyle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.