ACTIVE LIFE SKILLS NPI 1326951302

NPI Information

  • NPI: 1326951302
  • Provider Name: ACTIVE LIFE SKILLS
  • Classification: Adult Companion - 372600000X
  • Entity Type: Organization
  • Address: 10225 W CAPITOL DR
    WAUWATOSA, WI
    ZIP 53222
  • Phone: (262) 461-7585

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NPI Details

ACTIVE LIFE SKILLS is an adult companion in Wauwatosa, WI. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. ACTIVE LIFE SKILLS NPI is 1326951302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10225 W CAPITOL DR
WAUWATOSA, WI
ZIP 53222-305
Phone: (262) 461-7585

The provider's authorized official is Gregory Black .
The authorized official title is Owner and has the following contact phone number (262) 461-7585.

The enumeration date for this NPI number is 9/23/2026 and was last updated on 9/23/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult CompanionYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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