Organization
ACTIVSTYLE, INC
Active
Parent organization
ACTIVSTYLE HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVSTYLE HOLDING COMPANY
Authorized official
DARRELL DOUGLAS RAWLINGS (CEO)
(612) 895-7815
Entity
Organization
Contact information
Practice address
241 CHURCH ST, SUITE G, PUTNAM, CT 06260-1548
(612) 928-6822
(866) 896-7171
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(888) 280-8632
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
—
004268844
—
CT
05
—
5720001
—
RI
Enumeration date
07/10/2012
Last updated
08/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us