NPIMap

Active SC One, Inc.

Organization Active NPI Adult Day Care Clinic/Center · Marion, SC

NPI 1023764206 · NPPES record last updated Feb 25, 2022

Key facts

NPI
1023764206
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
ACTIVE SC ONE, INC.
Practice address
300 Supply Rd
Marion, SC 29571-5347
Phone
(843) 423-6488
Fax
(843) 423-9103
NPI assigned
Feb 25, 2022
Organization subpart
Yes
Parent organization (as reported)
ACTIVE DAY INC

Authorized official

Name
Debora Hockenbury
Title
Contracts & Regulatory MGR
Phone
(215) 642-6600

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2268527Active Day of Marion
300 Supply Road, Marion, SC 29571		Certificate of waiverSep 12, 2026

National Provider Directory

Tax ID family
Active SC One Inc (16 organizations share this tax ID)
Part of
Active Day Inc

Locations

300 Supply Rd
Marion, SC 29571
Phone (843) 423-6488

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Yes

Addresses

Primary practice location

300 Supply Rd
Marion, SC 29571-5347

Mailing address

6 Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

Other names

  • Active Day of Marion Doing business as

Other providers in Marion, SC

All providers in Marion, SC · Adult Day Care Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.