ACTIVE DAY KY INC. NPI 1578602819

NPI Information

NPI: 1578602819
Provider Name: ACTIVE DAY KY, INC.

Doing Business As: ACTIVE DAY OF ELIZABETHTOWN

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

Specialization: Adult Day Care

Address:
1238 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 763-9192
Get Directions

ACTIVE DAY KY, INC. is an adult day care clinic center in Elizabethtown, KY. ACTIVE DAY KY, INC. NPI is 1578602819. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Elizabethtown.

The provider's business location address is:

1238 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-767
Phone: (270) 763-9192
Fax: (270) 763-9279

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 18D0980429 - 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 9/9/2016.

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	261QH0100X	Clinic/Center	Health Service	No
3	261QR0400X	Clinic/Center	Rehabilitation	No
4	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
1	1700067000	MEDICAID	KENTUCKY
2	4300086800	MEDICAID	KENTUCKY
3	3300128000	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

NPI Synchronization or Removal

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