Organization
ACTIVSTYLE, INC
Active
Parent organization
ACTIVSTYLE HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVSTYLE HOLDING COMPANY
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
3500 LAKESIDE CT, SUITE 200, RENO, NV 89509-4829
(612) 928-6826
(866) 301-2167
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(800) 651-6223
(866) 896-7171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407173487
—
NV
Enumeration date
04/29/2010
Last updated
11/13/2025
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