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ACTIVE DAY KY INC. NPI 1891833521


NPI Information

NPI: 1891833521
Provider Name: ACTIVE DAY KY, INC.

Doing Business As: ACTIVE DAY OF LEXINGTON

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

Specialization: Adult Day Care

CLIA Number: 18D0975397

Address:
191 W LOWRY LN
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-2053
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ACTIVE DAY KY, INC. is an adult day care clinic center in Lexington, KY. ACTIVE DAY KY, INC. NPI is 1891833521. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Lexington.

The provider's business location address is:

191 W LOWRY LN
LEXINGTON, KY
ZIP 40503-016
Phone: (859) 278-2053
Fax: (859) 275-1947

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 18D0975397 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationNo
2261QA0600XClinic/CenterAdult Day CareYes

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
14300087600MEDICAIDKENTUCKY

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: 11/14/2023

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