ACTIVE SC ONE INC. NPI 1982744272

NPI Information

NPI: 1982744272
Provider Name: ACTIVE SC ONE, INC.
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Doing Business As: PEE DEE ACTIVE DAY CENTER
Address: 2120 ENTERPRISE DR
FLORENCE, SC
ZIP 29501
Phone: (843) 665-1919

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NPI Details

ACTIVE SC ONE, INC. is an adult day care clinic center in Florence, SC. ACTIVE SC ONE, INC. NPI is 1982744272. The provider is registered as an organization entity type.
The provider Is Doing Business As Pee Dee Active Day Center.

The provider's business location address is:

2120 ENTERPRISE DR
FLORENCE, SC
ZIP 29501-104
Phone: (843) 665-1919
Fax: (843) 665-7237

The provider's authorized official is Debora Hockenbury .
The authorized official title is Contracts Manager and has the following contact phone number (215) 642-6600.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/30/2020.

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	385H00000X	Respite Care			SOUTH CAROLINA	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	EX0431	MEDICAID	SOUTH CAROLINA

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: 11/21/2025

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