Active SC Pca, Inc.
Organization Active NPI Home Health Agency · Goose Creek, SC
NPI 1023158151 · NPPES record last updated Sep 9, 2016
Key facts
- NPI
- 1023158151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ACTIVE SC PCA, INC.
- Practice address
- 104 Springhall Dr
Goose Creek, SC 29445-5335 - Phone
- (843) 553-1665
- Fax
- (843) 553-5932
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACTIVE DAY, INC.
Authorized official
- Name
- Craig Mehnert
- Title
- Coo
- Phone
- (215) 642-6600
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Active Nursing Services of Charleston
- Part of
- Active Day Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
104 Springhall Dr
Goose Creek, SC 29445-5335
Mailing address
6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0419 | Medicaid | SC |
Other names
- Active Nursing Services of Charleston
Other providers in Goose Creek, SC
- Abundant Life Family Chiropractic LLC
- Aca Laboratories
- Michele Ackley
- Acsr, Inc.
- Acsr, Inc.
- Wilma Adams
- Advanced Adult Care Services LLC
- Advantage Healthcare of Charleston LLC
- Aerete Wellness, LLC
- Agilitas USA, Inc
All providers in Goose Creek, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.