ACTIVE DAY KY INC. NPI 1235277971

NPI Information

NPI: 1235277971
Provider Name: ACTIVE DAY KY, INC.

Doing Business As: ACTIVE DAY OF OWENSBORO

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1035 FREDERICA ST
SUITE 170
OWENSBORO, KY
ZIP 42301
Phone: (270) 683-6127
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ACTIVE DAY KY, INC. is an adult day care clinic center in Owensboro, KY. ACTIVE DAY KY, INC. NPI is 1235277971. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Owensboro.

The provider's business location address is:

1035 FREDERICA ST
SUITE 170
OWENSBORO, KY
ZIP 42301-074
Phone: (270) 683-6127
Fax: (270) 683-3072

The provider's authorized official is Craig Mehnert .
The authorized official title is Coo and has the following contact phone number (215) 642-6600.

The CLIA number assigned to this NPI record is 18D0971636 - other - medical adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 12/2/2011.

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	261QD1600X	Clinic/Center	Developmental Disabilities			No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3300132200	MEDICAID	KENTUCKY
2	4300085000	MEDICAID	KENTUCKY

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

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