ACSR INC. NPI 1316086853

NPI Information

NPI: 1316086853
Provider Name: ACSR, INC.

Doing Business As: ACTIVE DAY OF RUSSELL SPRINGS

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

Specialization: Adult Day Care

Address:
1165 LAKEWAY DR
RUSSELL SPRINGS, KY
ZIP 42642
Phone: (270) 866-4877
Get Directions

ACSR, INC. is an adult day care clinic center in Russell Springs, KY. ACSR, INC. NPI is 1316086853. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Russell Springs.

The provider's business location address is:

1165 LAKEWAY DR
RUSSELL SPRINGS, KY
ZIP 42642-564
Phone: (270) 866-4877
Fax: (270) 866-4978

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 18D0990768 - other - adhc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 6/20/2016.

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	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	261QR0400X	Clinic/Center	Rehabilitation	No
3	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	33000308	OTHER	KENTUCKY	SCL
2	3300030800	MEDICAID	KENTUCKY
3	4302104700	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: 5/5/2024

NPI Synchronization or Removal

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