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ACTIVE DAY KY INC. NPI 1851430367


NPI Information

NPI: 1851430367
Provider Name: ACTIVE DAY KY, INC.

Doing Business As: ACTIVE DAY OF WATTERSON PARK

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 18D0981415

Address:
1920 GOLDSMITH LN
SUITE 100
LOUISVILLE, KY
ZIP 40218
Phone: (502) 366-5777
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ACTIVE DAY KY, INC. is a developmental disabilities clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). ACTIVE DAY KY, INC. NPI is 1851430367. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Watterson Park.

The provider's business location address is:

1920 GOLDSMITH LN
SUITE 100
LOUISVILLE, KY
ZIP 40218-073
Phone: (502) 366-5777
Fax: (502) 366-4599

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 18D0981415 - 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 8/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareNo
2261QR0400XClinic/CenterRehabilitationNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13300131400MEDICAIDKENTUCKY
24300082700MEDICAIDKENTUCKY

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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