ACTIVE MA INC. NPI 1154949592

NPI Information

NPI: 1154949592
Provider Name: ACTIVE MA, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
725A MYLES STANDISH BLVD
TAUNTON, MA
ZIP 02780
Phone: (508) 880-3000
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ACTIVE MA, INC. is an adult day care clinic center in Taunton, MA. ACTIVE MA, INC. NPI is 1154949592. The provider is registered as an organization entity type.

The provider's business location address is:

725A MYLES STANDISH BLVD
TAUNTON, MA
ZIP 02780-332
Phone: (508) 880-3000

The provider's authorized official is Debora Hockenbury .
The authorized official title is Contracts Manager and has the following contact phone number (215) 642-6600.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 7/13/2020.

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
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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