Active Life Health Of Alpharetta Llc
Durable Medical Equipment & Medical Supplies
4165 Old Milton Pkwy Ste 200, Alpharetta
Georgia, 30005-4478
770-755-1771 770-370-8140
Active Life Health Of Alpharetta Llc is a Durable Medical Equipment & Medical Supplies in Alpharetta, Georgia. It is located at 4165 Old Milton Pkwy Ste 200, Alpharetta and it's customer support contact number is 770-755-1771. The authorized person of Active Life Health Of Alpharetta Llc is John J Rush, MD who is Chairman & Chief Executive Officer of this DME and his contact number is 770-755-1771. Active Life Health Of Alpharetta Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Active Life Health Of Alpharetta Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Active Life Health Of Alpharetta Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Life Health Of Alpharetta Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4165 Old Milton Pkwy Ste 200, Alpharetta,
Georgia, 30005-4478 |
| Phone: | 770-755-1771 |
| Fax: | 770-370-8140 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | John J Rush |
| Credentials: | MD |
| Position: | Chairman & Chief Executive Officer |
| Contact Number: | 770-755-1771 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1265101596 |
| NPI Enumeration Date: | 09 Sep, 2021 |
| NPI Last Update On: | 04 Feb, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Life Health Of Alpharetta Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Active Life Health Of Alpharetta Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880082817 | O20220624002057 | Active Life Health Of Alpharetta Llc | DME SUPPLIER - PHYSICIAN - GENERAL PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4165 Old Milton Pkwy Ste 200,
Alpharetta, Georgia |
| Zip: | 30005-4478 |
| Phone Number: | 770-755-1771 |
| Fax Number: | 770-370-8140 |
Patients can reach Active Life Health Of Alpharetta Llc at
4165 Old Milton Pkwy Ste 200, Alpharetta, Georgia or can
call on customer care at 770-755-1771.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.